presentation of drug misuse Flashcards

1
Q

what type of receptor is affected by opioid ?

A

mu receptor agonist

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2
Q

what does the overdose of heroin look like ?

A

pinned pupils ( dilated with withdrawal )
shallow respiration
cyanosis
loud snoring
unrousable

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3
Q

what is the treatment for opiates overdose ?

A

naloxone

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4
Q

what is used to reverse the effect of benzodiazepines ?

A

flumanezil

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5
Q

what effect dos GBL/GHB have ?

A

weak action at GABA-B
sedative effect

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6
Q

what symptoms are associated with hallucinogens ?

A

acute psychotic symptoms

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7
Q

what is the treatment for GBL withdrawal ?

A

benzodiazepines andd baclofen

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8
Q

what is the treatment for benzo withdrawal ?

A

diazepam detoxification

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9
Q

valium ?

A

diazepam

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10
Q

what is thee treatment for opiate withdrawal ?

A

give methadone

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11
Q

a patient cam in requesting clonazepam for their epilepsy ?

A

shok fe da modmen

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12
Q

visual hallucinations associated with alcohol withdrawal ?

A

delirium tremens

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13
Q

what is wernicks encephalopathy and what is the treatment ?

A

caused by thiamine deficiency
treat with IV thiamine

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14
Q

what is the presentation of wernicks encephalopathy ?

A

triad of confusion, ataxia, and ophthalmoplegia or nystagmus

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15
Q

what is the sequel of wernicks encephalopathy ?

A

korsakoff’s syndrome

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16
Q

what is the presentation of korsakoffs syndrome ?

A

after the onset of wernicks encephalopathy there is short term memory loss

17
Q

what is the management of alcohol dependence on AMUu ?

A

supportive measures
chlordiazepoxide
thiamine po or pabrinex
discharge planning early

18
Q

what is the management of delirium tremens on AMU ?

A

haloperidol

19
Q

what is the management of wernicks encephalopathy ?

A

1- iv thiamine
2- correct magnesium deficiency and hypoglycaemia

20
Q

what is the management for seizures in the acute setting ?

A

diazepam 10mg per rectum

21
Q

what are the screening tools used for alcohol dependency ?

A

AUDIT or AUDIT-CC
PAT or FAST

22
Q

what AUDIT score is considered positive for alcohol dependency ?

A

more than or equal to 5