Alcohol, Caffeine, Drugs of abuse Flashcards

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1
Q

What are the symptoms of stimulant (Amphetamines, Methylphenidate, Cocaine) Overdose

A

Agitation, hypertension, tachycardia, delusions, hallucinations, hyperthermia, seizures, death

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2
Q

What are the withdrawal symptoms of stimulant abuse?

A

Apathy, irritability, increased sleep time, disorientation, depression

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3
Q

What are the symptoms of depressant (barbiturates, benzos, ethanol) overdose?

A

Slurred speech, drunken behavior, dilated pupils, weak and rapid pulse, clammy skin, shallow respiration, coma, death

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4
Q

What are the withdrawal symptoms of depressant abuse?

A

Anxiety, insomnia, delirium, tremors, seizures, death

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5
Q

What are the symptoms of Opioid overdose?

A

Constricted pupils, clammy skin, nausea, drowsiness, respiratory depression, coma, death

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6
Q

What are the withdrawal symptoms of opioid abuse?

A

Nausea, chills, cramps, lacrimation, rhinorrhea, yawning, hyperpnea, tremor

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7
Q

What drugs are used to treat Opioid Addiction/Overdose?

A

Naloxone (Narcan)

Naltrexone

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8
Q

What drug is used to treat synthetic opioid addiction?

A

Methadone

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9
Q

What drug is used for smoking cessation?

A

Varenicline (Chantix)

It is a nicotinic receptor partial agonist

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10
Q

What drugs are used to treat Benzodiazepine Dependence/Addiction?

A

Oxazepam/Lorazepam

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11
Q

What are some drugs that are abused that aren’t necessarily addictive?

A
  • LSD
  • Mescaline
  • Psilocybin
  • Phencyclidine (PCP)
  • Ketamine
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12
Q

Which drug can cause “flashbacks”?

A

LSD can cause flashbacks of altered perception years after consumption

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13
Q

What are the Key Steps in the metabolism of alcohol

A

Alcohol -> Acetaldehyde (via alcohol dehydrogenase)

Acetaldehyde -> Acetic Acid (via acetaldehyde dehydrogenase)

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14
Q

What is the meaning of Zero-Order Kinetics?

A

The Rate of metabolism remains constant and is independent of concentration or amount of the chemical

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15
Q

What to look for in acute alcohol intoxication ?

A
  • monitor respiratory depression and aspiration of vomitus
  • Glucose can treat metabolic alterations such as hypoglycemia and ketosis
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16
Q

Which drugs are used for the treatment of acute alcohol withdrawal syndrome?

A

Diazepam (Valium), Lorazepam, Oxazepam, thiamine (Vitamine B1)

17
Q

Which drugs are used for the prevention of alcohol abuse?

A

Acamprosate, Disulfiram (Antabuse), and Naltrexone

18
Q

Which drugs are used for the treatment of acute methanol or ethylene glycol poisoning?

A

Ethanol or Fomepizole

19
Q

What is the MOA of Naltrexone?

A

It is a μ opioid receptor antagonist (long-acting)

  • reduces the craving for alcohol and the rate of relapse
  • must be opioid-free before initiating therapy
20
Q

What is the MOA of Acamprosate?

A

It is a weak NMDA receptor antagonist and GABA A receptor agonist

-Reduces short-term and long-term relapse rates

21
Q

What is the MOA for Disulfiram?

A

Irreversibly inhibits aldehyde dehydrogenase and causes extreme discomfort in patients who drink alcohol

22
Q
A