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ESUN MS2Unit3 > Psychiatry IV > Flashcards

Psychiatry IV Flashcards

1
Q

What are intoxication and dependence of drug abuse?

A

Intoxication—>disturbances in various physiological levels

Dependence (tolerance)—>need to increase dose to achieve the same effect—>lead to withdraw

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2
Q

What are the criteria for substance use disorder?

A
  1. continue to use despite negative personal consequence
  2. can’t carry out normal work and school
  3. use in physically dangerous situation (like driving)
  4. continue to use even though experiencing social problems
  5. stop doing any social/recreational things
  6. using greater amount or over a longer period of time
  7. unable to cut down
  8. spend a lot of time getting the drug
  9. continue to use even though knowing its bad for him/her
  10. crave the drug
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3
Q

What are the score range for substance use disorder?

A

2-3—>mild
4-5—>moderate
6-7—>severe

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4
Q

Alcohol acts on ___ receptor just like Barbs

A

GABAa

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5
Q

Signs of alcohol withdraw

A

Agitation/tremor/insomnia/GI/vital signs go up/withdraw seizures

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6
Q

What to give for alcohol withdraw?

A

Lorazepam

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7
Q

What is the risk of flumazenil?

A

Seizure

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8
Q

Signs of benzo/barb withdraw

A

Agitation/tremor/insomnia/seizures

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9
Q

Chronic drug use increase activity in ___ and decrease in ___ part of the brain?

A

limbic/prefrontal cortex

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10
Q

3 parts of the brain that regulates mesolimbic reward?

A

VTA—(give DA)—>nucleus accumbens

Amygdala assigns a pleasure/threat to the link between the above 2

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11
Q

___ part of the brain control the reward system and the drug use

A

Prefrontal cortex

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12
Q

When you see dilated pupils you think what kind of drugs? what about miosis?

A

Stimulants/herion and opioids

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13
Q

Signs of withdraw from opioid

A

Restless/watery eyes/yawning/flushing

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14
Q

5HT/DA/NE and their metabolites?

A

5HT—>5HIAA
DA—>HVA
NE–>MHPG

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15
Q

What causes panic attack?

A

Sodium lactate

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16
Q

What is trazodone

A

Sedating TCA (low abuse)

17
Q

Venlafaxine is for?

A

Social phobia

18
Q

What are reflexive listening and double sided reflection when approaching smoking cessation?

A

(don’t tell them what to do)
Reflexive listening—>provide fact (what smoking do to ppl) and ask what they are thinking about it
Double sided reflection—>conflict of having a happy life and do drugs at the same time—>address this with the pt

19
Q

The goal of 12 step of AA is to achieve?

A

Abstinence (no drinks at all)

20
Q

What are the general ideas of AA?

A

Admit you need help—>superego function—>amend—->spirituality

21
Q

What are stages of change (harm reduction)?

A

Precontemplation (not thinking about it)—>contemplation—>preparation—>action—->maintenance

22
Q

Processes from pre to contemplation?

A

raise consciousness/pump him up/think about what would happen socially if you dont stop (wife will leave you if you dont stop drinking)

23
Q

Processes from contemplation to preparation?

A

Do I have the tool to make a change?

24
Q

Processes from preparation to action?

A

Believe in something large than yourself and commit

25
Q

Processes from action to maintenance?

A

Give the life back to the pt

26
Q

Pt comes in who is shooting up heroin, you teach him how to clean needles and prevent infection.
Put opioid pt on methadone maintenance.
Use patch or E-cig instead of smoking.
These incidents are examples of ___?

A

Harm reduction

27
Q

What drug do we use for nicotine replacement therapy (NRT)?

A

Bupropion (replace DA)—>also counter the symptoms when you quit smoking (irritated/jittery/weight gain)
Nicotine patch

28
Q

What is the best data for smoking cessation?

A

NRT (nicotine patch) + varenicline

29
Q

What is varenicline?

A

Varenicline—>partial nicotine agonist—>avoid withdraw (side effect—>possible schizo)

ESUN MS2Unit3 (11 decks)

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