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239 - Addictions > LO2 - Detox & Withdrawal > Flashcards

LO2 - Detox & Withdrawal Flashcards

1
Q

Withdrawal is..

A

The longer the drugs half life, the longer the withdrawal symptoms
General depression is a symptom

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2
Q

Withdrawal for sedatives, hypnotics and anxiolytics

A

Peak at 24 hours
Lasts up to 1 week

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3
Q

Withdrawal for lorazepam and oxazepam

A

6 to 8 hours after ended

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4
Q

Withdrawal for diazepam

A

Not developed for a week or two
Withdrawal decreases after 3 to 4 weeks
15 mg can cause withdrawal
Higher doses can cause seizures or delirium

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5
Q

Withdrawal for alcohol

A

Onset is 6 to 24 hours
Lasts 3-5 days

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6
Q

Symptoms o alcohol withdrawal

A

Autonomic hyperactivity - sweating, pulse above 100 bpm
Hand tremor
Insomnia
Nausea/vomiting
Hallucinations
Psychomotor agitation
Anxiety
Tonic-clonic seizures

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7
Q

Alcohol withdrawal medical emergencies

A

Disorientation
Delusions
Visual hallucinations
Seizures

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8
Q

Wernickes symptoms

A

Ataxia - uncoordinated
Eye abnormalities
Mortality rate of 15-20%

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9
Q

Korsakoff symptoms

A

Amnesia
Neurocognitive disorder (thiamine deficiency)

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10
Q

Korsakoff symptoms

A

Amnesia
Neurocognitive disorder (thiamine deficiency)

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11
Q

Detoxification definition

A

Early treatment stage
Body eliminates the substance

Initial and immediate goal to have meds alleviate unpleasant withdrawal symptoms

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12
Q

3 strategies for detoxification

A

Agonist or substation therapy -used to induce cross tolerance to substance

Antagonist therapy - produce extinction by preventing user from experiencing the reinforcement effect

Aversion therapy - produce adverse reaction following ingestion

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13
Q

Meds that and in alcohol withdrawal

A

Benzos
Barbiturates
Beta-blockers
Antabuse

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14
Q

Stimulant withdrawal symptoms

A

Fatigue
Vivid, unpleasant dreams
Insomnia or hypersernia
Increased appetite
Psychomotor agitation or retardation

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15
Q

Tobacco withdrawal symptoms

A

Irritability, frustration, anger
Anxiety
Difficulty concentration
Increased appetite
Restlessness
Depressed mood
insomnia

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16
Q

Tobacco withdrawal

A

Begins within 24 hours
Peaks at 2 to 3 days
Lasts 2 to 3 weeks

17
Q

Half life of…
Amphetamine
Meth
Coke
MDMA

A

12-36 hours
8-17 hours
45-90 mins
7-9 hours

18
Q

Stimulant detox

A

No meds developed
Symptom management
Supportive and sympathetic care

19
Q

Opioid withdrawal symptoms

A

Dysphoric- mood
Nausea/vomiting
Muscle aches
Lacrimation or rhinorrhea
Pupil dilation, piloerection, sweating
Diarrhea
Yawning
Fever
Insomnia

20
Q

Short acting vs long acting opioid withdrawal

A

Short acting (heroine) - 6 to 12 hours, peaks at 1 to 3 days, gradually subsides over 5-7 days

Long acting (methadone or buprenorphine) - may emerge after 2-4 days can last for weeks to months

21
Q

Opioids meds

A

Acetaminophen plus codeine
Gravol-nausea
Clonidine - reduce anxiety and sweating
Methadone-low dose therapy

22
Q

Suboxone is….

A

Buprenorphine and naloxone

23
Q

How does methadone work?

A

Does not create euphoric feeling
Tolerance is very slow
Must be combined with other supports and services

24
Q

How does buprenorphine work?

A

Safe substation for heroin or opioids
Suboxone suppresses windrawal symptoms and reduce cravings
25 to. 50x more potent than morphine
Sublingual

25
Q

COWS scoring

A

5-12 mild
13-24 moderate
25-36 moderate severe
37+ severe

When over 13, it should be redone every 12 hours

26
Q

Naloxone

A

Fast acting -reverses opioid overdose
Can restore breathing in 2 to 5 mins
Only works if felt; heroin, morphine or codeine are in your body

27
Q

Which hallucinogens have withdrawal symptoms

A

PCP
Ketamine

28
Q

Cannabis withdrawal symptoms

A

Irritability
Nervousness/anxiety
Sleep difficulty
Decreased appetite
Restlessness
Depressed mood

At least one causing discomfort.: abdominal pain, shakiness-tremors, sweating, fever, chills or headaches

29
Q

Caffeine withdrawal symptoms

A

Headache
Fatigue
dysphoria, depressed mood, irritability
Difficulty concentrating
Flu like symptoms (nausea, vomiting, muscle pain)

30
Q

Caffeine withdrawal

A

12 to 24 hours
Peaks at 1-2 days
Last 2-9 days

31
Q

Inpatient treatment

A

Social detox is 7 to 14 days
Need to be medically cleared
Provides safe environment, food, meds and group therapy

32
Q

Outpatient treatment

A

Can remain at home
Dally check ins
Reviewed by physician
Community paramedic detox at home program

33
Q

Youth detox and stabilization act

A

12 to 17 years old
Involuntary for 15 days
Form a submitted to judge

239 - Addictions (5 decks)

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