Change and Drugs - Sheet1 Flashcards

1
Q

What is precontemplation

A

Not yet acknowledging there is a problem

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2
Q

What is contemplation:

A

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

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3
Q

What is preparation/determination:

A

getting ready to change behaviors

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4
Q

What is action/willpower:

A

changing behaviors

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5
Q

What is maintenance:

A

maintaining the behavior changes

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6
Q

What is relapse:

A

Returning to old behaviors and abandoning new changes

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7
Q

What are 4 depressants

A

ETOH, Opioids, Barbs, BZDs

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8
Q

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

A

Alcohol intoxication

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9
Q

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

A

ETOH Withdrawal

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10
Q

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

A

Opioids

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11
Q

How do you treat Delirium tremens seen in ETOH withdrawal

A

BZDs

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12
Q

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

A

Opiods

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13
Q

How do you treat opioid withdrawal:

A

long term support with methadone or buprenorphine

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14
Q

This OD presents with acute marked respiratory depression

A

Barbituates

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15
Q

This withdrawal presents with delirium and life-threatening CV collapse

A

Barbiturates

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16
Q

What is treatment for OD on Barbiturates

A

-symptom management, respiratory assistance if necessary

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17
Q

This intoxication presents with ataxia and minor respiratory depression

A

BZDs

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18
Q

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

A

BZDs

19
Q

How do you treat BZD intoxication

A

Flumazenil

20
Q

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

A

Delirium tremens

21
Q

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

A

Visual

22
Q

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

A

Amphetamines

23
Q

How do you treat Amphetamine intoxication

A

BZDs for agitation and seizures

24
Q

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

A

Cocaine

25
Q

How do you treat cocaine OD

A

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

26
Q

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

A

Caffeine

27
Q

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

A

Nicotine

28
Q

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

A

PCP

29
Q

How do you treat PCP OD

A

BZDs and/or rapid-acting antipsychotic

30
Q

What is the most common complication from PCP OD:

A

trauma

31
Q

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

A

Lysergic acid diethyl amide (LSD)

32
Q

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

A

Marijuana

33
Q

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

A

Dronabinol-tetrahydrocannabinol isomer

34
Q

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

A

Marijuana

35
Q

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

A

MDMA (ecstasy)

36
Q

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

A

MDMA (ecstasy)

37
Q

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

A

Heroin

38
Q

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

A

Methadone

39
Q

MOA of Naloxone and buprenorphine for heroin addiction:

A

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

40
Q

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

A

Naltrexone

41
Q

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

A

disulfiram

42
Q

This presents as a triad of confusion, opthalmoplegia, ataxia

A

Wernicke encephalopathy from B1 (thiamine) deficiency

43
Q

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

A

Korsakoff syndrome

44
Q

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

A

Mallory-weiss syndrome