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Psychiatry > Substance Abuse 1 > Flashcards

Substance Abuse 1 Flashcards

1
Q

Screening questions for substance can be made with the acronym_______

A

CAGE
or
CARFFT

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2
Q

CAGE meaning and criteria

A 
Cut down need
Anger
Guilty
Eye opener * 
for men, a score of >=2 is a positive screen; for women, a score of >=1 is a positive screen
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3
Q

CRAFFT meaning

A 
Car, use
Relax, use to....
Alone
Friends, lossing..l
Forget, 
Trouble
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4
Q

Nemonic for substance abuse psychotherapy

A

FRAMES

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5
Q

meaning of FRAMES

A 
Feedback
Responsibility
Advice
Menu of options
Empathy
Self-Efficacy, explain them they are better whitout it
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6
Q

Which are the stages of substance abuse

A 
Pre contemplative: denial
contemplative: accepted
Preparation: 1st steps
Action: Behavior
Maintenance: sustain
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7
Q

Alcohol
Signs and
symptoms of intoxication

A 
Talkative,
sullen,
gregarious,
moody,
disinhibited
Legal limit US (car operate)) 0.08 =2-3 drinks
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8
Q

Alcohol Treatment of

intoxication

A

Mechanical
ventilation if
severe
Coma coctail: thiamine D50 and naltrexone

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9
Q

Alcohol Signs and
symptoms of
withdrawal

A 
Tremors,
hallucinations,
confusion that comes before seizures,
delirium
tremens
Diastolic hypertnsion
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10
Q

Alcohol Treatment of

withdrawal

A

Benzodiazepines (clordiazep + diazep.. to avoid the short term symp, then tapper) ,
thiamine,
multivitamins,
folic acid

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11
Q 
Amphetamines
and cocaine
(synthetic
forms: bath
salts) Signs and
symptoms of intoxication
A 
Euphoria,
hypervigilance,
autonomic
hyperactivity,
weight loss,
pupillary
dilatation,
perceptual
disturbances. Coc angina HTcrisis
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12
Q 
Amphetamines
and cocaine
(synthetic
forms: bath
salts) Treatment of
intoxication
A 
Antipsychotics
and/or
benzodiazepines
and/or
antihypertensives
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13
Q 
Amphetamines
and cocaine
(synthetic
forms: bath
salts) Signs and
symptoms of
withdrawal
A 
Anxiety,
tremulousness,
headache,
increased
appetite,
depression,
risk of suicide. Cocaine bugs
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14
Q 
Amphetamines
and cocaine
(synthetic
forms: bath
salts) Treatment of
withdrawal
A

Bupropion and/or
bromocriptine.
Coca: 1 alpha blockade, then beta blockade

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15
Q 
Cannabis
(synthetic
forms: K2 and
spice) Signs and
symptoms of intoxication
A 
Impaired
motor
coordination,
slowed sense
of time, social
withdrawal,
increased
appetite,
conjunctival
injection
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16
Q 
Cannabis
(synthetic
forms: K2 and
spice) Treatment of
intoxication
A

Consider use of
antipsychotics if
patient is
psychotic

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17
Q 
Cannabis
(synthetic
forms: K2 and
spice) Signs and
symptoms of
withdrawal
A 
Irritability,
anger, anxiety,
sleep
problems,
restlessness,
appetite
problems
18
Q 
Cannabis
(synthetic
forms: K2 and
spice) Treatment of
withdrawal
A

Symptomatic

19
Q

Hallucinogens Signs and

symptoms of intoxication

A 
Ideas of
reference,
perceptual
disturbances,
possible increase in
psychosis,
impaired
judgment,
tremors,
incoordination,
dissociative
symptoms
20
Q

Hallucinogens Treatment of

intoxication

A 
Antipsychotics
and/or
benzodiazepines
and/or talking
down
21
Q

Inhalants Signs and

symptoms of intoxication

A 
Belligerence,
apathy,
aggression,
impaired
judgment,
stupor, or
coma
22
Q

Inhalants Treatment of

intoxication

A

Antipsychotics

23
Q 
Opiates
(synthetic
form:
desomorphine,
a.k.a. krokodil) Heroin
Signs and
symptoms of intoxication
A 
Apathy, euphoria***
dysphoria,
pupillary
constriction,⬇RespR
drowsiness,
slurred
speech, coma,
or death. Track markers
24
Q 
Opiates
(synthetic
form:
desomorphine,
a.k.a. krokodil)  Heroin Treatment of
intoxication
A

Naloxone. Narcotics Anonymus, medical assistant therapy w methadone or suboxone

25
Q 
Opiates
(synthetic
form:
desomorphine,
a.k.a. krokodil)  Heroin Signs and
symptoms of
withdrawal
A 
all over body PAIN
Fever, chills,
lacrimation,
abdominal
cramps,
muscle
spasms,
diarrhea
26
Q 
Opiates
(synthetic
form:
desomorphine,
a.k.a. krokodil)  Heroin Treatment of
withdrawal
A

Clonidine,
methadone(kills the cravings), or
buprenorphine

27
Q

Phencyclidine
(PCP) angel dust
Signs and
symptoms of intoxication

A 
Belligerence,
psychomotor
agitation,
violence, 
VERTICAL AND HORIZONTAL nystagmus,
hypertension,
seizures
28
Q

Phencyclidine
(PCP) angel dust Treatment of
intoxication

A 
Antipsychotics
and/or
benzodiazepines
and/or talking
down. Acidify urine in order to enhance excretion
29
Q

Anabolic
steroids Signs and
symptoms of intoxication

A

Irritability,
aggression,
mania,
psychosis

30
Q

Anabolic
steroids Treatment of
intoxication

A

Antipsychotics

31
Q

Anabolic
steroids Signs and
symptoms of
withdrawal

A 
Depression,
headaches,
anxiety,
increased
concern over
body’s physical
state
32
Q

Anabolic
steroids Treatment of
withdrawal

A

SSRIs

33
Q

Liver alcohol metabolize rate?

A

0.03/h

34
Q

0.2 EtOH intox

A

nausea and vomit

35
Q

EtOH stimulates what neurotransmiter?

A

GABA, the brain inhibitor

36
Q

BZD acute intox sympt

A

amnesia, delirium in elderly. Resp ⬇, coma (this 2 are hard to see unles mixed with another drug like EtOH=Rape drug)

37
Q

MDMA synonym

A

3,4-Methyl​enedioxy​methamphetamine, commonly known as ecstasy, E, or molly,

38
Q

MDMA intox symp

A 
dilated pupil
euphoric psycosis
overheating
inc hreart rate
losst sense of water balance, inc water drinking.
Water intox
39
Q

Barbiturates intox

A

Same BZD effect but lower safety margin.

40
Q

Nicotin addiction, treatment

A

Nicotin Patch, gums or Wellburtin (Bupropion) or Chantix (Varenicline)

Psychiatry (15 decks)

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