Change and Drugs - Sheet1

Question 1

What is precontemplation

Answer 1

Not yet acknowledging there is a problem

Question 2

What is contemplation:

Answer 2

acknowledging there is a problem but not ready or willing to make a change

Question 3

What is preparation/determination:

Answer 3

getting ready to change behaviors

Question 4

What is action/willpower:

Answer 4

changing behaviors

Question 5

What is maintenance:

Answer 5

maintaining the behavior changes

Question 6

What is relapse:

Answer 6

Returning to old behaviors and abandoning new changes

Question 7

What are 4 depressants

Answer 7

ETOH, Opioids, Barbs, BZDs

Question 8

This presents with emotional lability, slurred speech, taxi, coma, blackouts and elevated GGT can be an indicator with AST 2x ALT

Answer 8

Alcohol intoxication

Question 9

This can present as autonomic hyperactivity and Delirium tremens if a pt is hospitalized for an extended period of time with known chronic ETOH use

Answer 9

ETOH Withdrawal

Question 10

This presents with euphoria, respiration and CNS depression, decreased GAG reflex, pupil constriction is key, seizures if taken too much

Answer 10

Opioids

Question 11

How do you treat Delirium tremens seen in ETOH withdrawal

Answer 11

BZDs

Question 12

This withdrawal presents with excessive sweating, dilated pupils, piloerection (cold sweat), fever, rhinorrhea, yawning, nausea, stomach cramps, diarrhea with flue like symptoms

Answer 12

Opiods

Question 13

How do you treat opioid withdrawal:

Answer 13

long term support with methadone or buprenorphine

Question 14

This OD presents with acute marked respiratory depression

Answer 14

Barbituates

Question 15

This withdrawal presents with delirium and life-threatening CV collapse

Answer 15

Barbiturates

Question 16

What is treatment for OD on Barbiturates

Answer 16

-symptom management, respiratory assistance if necessary

Question 17

This intoxication presents with ataxia and minor respiratory depression

Answer 17

BZDs

Question 18

This withdrawal presents withs keep disturbances, depression and rebound anxiety, with potential for seizures

Answer 18

BZDs

Question 19

How do you treat BZD intoxication

Answer 19

Flumazenil

Question 20

This life threatening alcohol withdrawal syndrome peaks 2-4 days after last drink is characterized by hyperactivity of autonomic systems: Tachycardia, tremors, anxiety, seizures

Answer 20

Delirium tremens

Question 21

Alcoholic hallucinosis is a distinct condition characterized by what type of hallucinations 12-48 hrs post sat drink:

Answer 21

Visual

Question 22

Intoxication with these presents as euphoria, grandiosity, pupillary dilation, prolonged wakefulness and attention, HTN, tachycardia, anorexia, paranoia and fever. If severe can manifest as cardiac arrest or seizures

Answer 22

Amphetamines

Question 23

How do you treat Amphetamine intoxication

Answer 23

BZDs for agitation and seizures

Question 24

This intoxication presents with impaired judgement, pupillary dilation, hallucinations (including tactile), paranoid ideations, angina, sudden cardiac death

Answer 24

Cocaine

Question 25

How do you treat cocaine OD

Answer 25

Alpha-blockers, BZDs, (don't give b-blockers)

Question 26

This OD presents with restlessness, increased diuresis, and muscle twitching with withdrawal symptoms of headache, difficulty concentrating, flu-like symptoms

Answer 26

Caffeine

Question 27

This presents with OD of restlessness and withdrawal symptoms of irritability, anxiety, restlessness, difficulty concentrating

Answer 27

Nicotine

Question 28

Intoxication with this substance presents with violence, impassivity, psychomotor agitation, nystagmus, tachycardia, HTN, analgesia, psychosis, delirium, and seizures.

Answer 28

PCP

Question 29

How do you treat PCP OD

Answer 29

BZDs and/or rapid-acting antipsychotic

Question 30

What is the most common complication from PCP OD:

Answer 30

trauma

Question 31

Intoxication with this results in peripheral distortion both visual and auditory, depersonalization, anxiety, paranoia, psychosis, and possible flashbacks

Answer 31

Lysergic acid diethyl amide (LSD)

Question 32

Intoxication with this substance presents with Euphoria, anxiety, paranoid delusions, perception of slowed time, impaired judgement, social withdrawal, increased appetite, dry mouth, maybe hallucinations and conjunctival injection

Answer 32

Marijuana

Question 33

This is medical form of a recreational drug useful as an antiemetic in chemotherapy and appetite stimulant in AIDS

Answer 33

Dronabinol-tetrahydrocannabinol isomer

Question 34

Withdrawal of this drug can present as irritability, anxiety, depression, insomnia, restlessness, decreased in appetite with positive UA up to 1 month

Answer 34

Marijuana

Question 35

Intoxication with this substance shows hallucinogenic stimulant euphoria, disinhibition, hyperactivity. With potential fatal effects including HTN, tachycardia, hyperthermia, hyponatremia, and serotonin syndrome

Answer 35

MDMA (ecstasy)

Question 36

Severe Depression, fatigue, change in appetite, difficulty concentrating, anxiety are withdrawal effects of this drug

Answer 36

MDMA (ecstasy)

Question 37

Users of this drug are at increased risk for hepatitis, HIV, abscesses, bacteremia, right-heart endocarditis

Answer 37

Heroin

Question 38

What do you use for heroin detoxification or long-term maintenance

Answer 38

Methadone

Question 39

MOA of Naloxone and buprenorphine for heroin addiction:

Answer 39

naloxone: antagonist not oral available - Buprenorphine: partial agonist (will precipitate withdrawl)

Question 40

This is a long acting opioid antagonist used for relapse prevention once detoxified form heroin

Answer 40

Naltrexone

Question 41

What can be given to condition an alcoholic pt to abstain from alcohol use:

Answer 41

disulfiram

Question 42

This presents as a triad of confusion, opthalmoplegia, ataxia

Answer 42

Wernicke encephalopathy from B1 (thiamine) deficiency

Question 43

This presents following Wernicke encephalopathy with irreversible memory loss, confabulation, and personality changes, and is associated with periventricular hemorrhage/necrosis of the mammillary bodies

Answer 43

Korsakoff syndrome

Question 44

This is a partial thickness tear at the gastroesophageal junction caused by excessive/forceful vomiting often presents with hematemesis and misdiagnosed as esophageal varicose rupture

Answer 44

Mallory-weiss syndrome