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Year 4 - Psych > Addiction > Flashcards

Addiction Flashcards

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1
Q

Dependence Syndrome
- Definition

A

Dependence Syndrome
- Definition

  1. Behaviour, cognitive, physiological phenomenon
  2. Strong desire
  3. Difficulties in controlling use
  4. Despite harm
  5. Increased tolerance
  6. Physical withdrawal state
  7. Repertoire narrowing
  8. Salience
    - Neglecting world
  9. 3 or more facets in preceding year
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2
Q

Harmful use

A

Harmful use

  1. Pattern of use
  2. Damaging to health
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3
Q

Dependency vs Misuse

A

Dependency vs Misuse

  1. Withdrawal
  2. Repertoire narrowing
  3. Salience
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4
Q

Alcohol “recommendations” (2023)

A

Alcohol recommendations (2023)

  1. 14 units
  2. Over 3 days
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5
Q

Alcohol dependence
- Signs

A

Alcohol dependence
- Signs

  1. Scent
  2. Ataxia
  3. Dysarthria
  4. Disinhibition
  5. Stigmata
    - Jaundice
    - Naevae
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6
Q

Opiate dependence
- Signs

A

Opiate dependence
- Signs

  1. Few

(1. Track marks
2. Clothes - looking for fix)

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7
Q

Dependence
- Mx approach

A

Dependence
- Mx approach

  1. Empathy & understanding
  2. Cycles of change
    - Thinking about it
  3. Drink/use diary
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8
Q

Motivational interviewing
- Approach

A

Motivational interviewing
- Approach

  1. Patient led
  2. Explore feelings
    - Developing change
  3. It can go on for months
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9
Q

Detoxification
- Approach

A

Detoxification
- Approach

  1. Motivational interviewing
  2. Lifestyle change
    - Leave home
    - Leave relationships
  3. Medical support
    - For alcohol
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10
Q

Alcohol detoxification
- Dangers
- Mx

A

Alcohol detoxification

  • Dangers
    1. CNS depression
    2. Reduced GABA
    3. Seizures
  • Mx
    1. Chlordiazepoxide
    2. Tapered scale
    3. 6hr half life
  1. Rectal diazepam
    - for seizures
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11
Q

Alcohol
- Sequelae

A

Alcohol
- Sequelae

  1. DTs
  2. Wernicke’s
  3. Korsakoff’s
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12
Q

Wernicke’s Triad

  • Features
  • Prevalence
A

Wernicke’s Triad

  • Features
    1. Ataxia
    2. Nystagmus
    3. Ophthalmoplegia
  • Prevalence
    1. 10%
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13
Q

Korsakoff’s syndrome
- Triad

A

Korsakoff’s syndrome
- Triad

  1. Confabulation
  2. Retrograde amnesia
  3. Anterograde amnesia
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14
Q

Delirium Tremens
- Features

A

Delirium Tremens
- Features

  1. High mortality
  2. Withdrawal
    - Severe
    - Uncontrolled
  3. Sympathetic overdrive
    - Highly aggressive
    - Tachycardia
  4. Hallucination
    - Visual
    - Auditory
  5. Harm to self and others
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15
Q

Delirium tremens
- Mx

A

Delirium tremens
- Mx

  1. Act fast
  2. Get security
  3. Get rapid tranq
    - (Lorazepam)
    - Olanzepine
    - Haloperidol
    - Promethazine
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16
Q

Disulfiram
- Harms

A

Disulfiram
(Antabuse)

  • Harms
    1. Easy not to use
    2. Very dangerous to drink on
  • MI

Year 4 - Psych (11 decks)

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