Psychiatry Flashcards
Most accurate test for alcohol in system
Blood or urine test
How long does cocaine stay in urine
2-4 days
How long does amphetamine stay in urine
1-3 days
How long does pcp stay in urine
4-7 days
What is also increased in people who take pcp
CPK and AST
How long does opioids stay in urine
1-3 days
What two opioids are not detected on regular screen
Methadone and oxycodon
Alcohol frigates what neurotransmitters
Gaba
Serotonin
Dopamine
Effects of alcohol intoxication
Decreased fine motor control Impaired judgment and coordination Poor balance Lethargy Coma (new drinker) Respiratory depression
Alcohol withdrawal symptoms
Beigin 6-24hr Irritability Tremor Diaphiresis HTN tachycardia Tonic clinic seizures Delirium tremens Hallucinations
Treatment for alcohol withdrawal
Benzodiazepines
- lorazepam
- diazepam
- chlordiazepoxide
Two drugs that treat mild alcohol withdrawal
Valproic acid
Carbamazepine
what is the opioid receptor blocker that works by decreasing the craving associated with alcohol
naltrexone
what is the med that should be started before detoxification of alcohol to prevent relapse
Acamprosate (Campral)
what is the anticonvulsant that inhibits glutamate receptors and potentiates GABA, reduces alcohol cravigins
topiramate
cocaine blocks the reuptake of?
DA
epi
NE
causes stimulation effect
severe agitation seen in cocaine users treat with
haloperidol
for mild to moderate agitation seen in cocaine users treat with
benzodiazepines
cocaine withdrawl symptoms present how
depression “crash” everything is slowed and the pupils are constricted
amphetamines facilitate the release of
DA
NE
heavy use of amphetamines can mimic what disease
schizophrenia
when you combine amphetamine with SSRI what can happen
serotonin syndrome
amphetamine withdrawal can lead to
prolonged depression
amphetamine overdose can cause
hyperthermia, rhabdo, and renal failure
