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Psychiatry 2 > Substance Abuse > Flashcards

Substance Abuse Flashcards

1
Q

What is Intoxication?

A

Reversible effect of a Subtance affecting physiology and reasoning

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2
Q

What is Withdrawl?

A

Opposite effect of drug. Decline in tissue concentrations after prolonged heavy use

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3
Q

What is Tolerance?

A

Decreased effects of a substance with repeated use

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4
Q

What is Risky Use?

A

Health Consequence from use >14 drinks/wk for men

>7 drinks/wk for women

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5
Q

What is Addiction?

A

Physical Dependance on a substance

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6
Q

What is Substance Misuse?

A

Abuse in the content of Precription drugs

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7
Q

What are the diagnostic Criteria of a subtance use disorder?

A 
Clinical Distress/Impairment
12 mon period
>2 items from Crit A
Mild => Severe
Specifiers
-Early remission
-Sustained remission
-Maint Therapy
-In a controlled Envt
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8
Q

What are the GI Complications of Alcohol use?

A 
Gastritis, Esophagitis, Pancreatitis, Fatty liver/hepatitis
Stomach/Duodenal Ulcers
Malabsorption
Mallory Weiss Tears
Esophageal varices
Malignancy
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9
Q

What are the CSN Complications of Alcohol use?

A 
Dec Abstract thinking
Impaired Learning
Wernicke's encephalopathy
Fetal Alcohol Synd
Withdrawl Seizures
Coma
Subs induced Neurocog Dis
Blackouts
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10
Q

What is the CIWA protocol for Assess and Tx of Alcohol Withdrawl?

A

N/V, Anxiety, Sweats, Tactile Dist
Add Scores, Total + Sx =>Tx
Monitor 72hrs w/ score

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11
Q

What are intoxication Sx of Alcohol?

A 
30-50 Buzz
50 Euphoria
100 Ataxia/Slurred Speech
200 Drowsy/Confused
300 Stuperous
>400 Progressive coma/death
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12
Q

What are intoxication Sx of Caffeine?

A

Restless, Nervous, Excitement, Insomnia, Flushed face, Diuresis

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13
Q

What are intoxication Sx of Cannabis?

A 
Conjunctival Injection
Inc appetitie
Dry Mouth
Tachycardia
Innapropriate Laughter
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14
Q

What are intoxication Sx of Hallucinagens? (PHENCYCLIDINE)

A 
VIOLENT BEHAVIOR
belligerence
Impaired Judgement
Nystagmus 
Hypertension
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15
Q

What are intoxication Sx of Inhalents?

A

NYSTAGMUS, Dizziness, Incoordination, Slurred Speech, Unsteady Gait, Arrhythmia

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16
Q

What are intoxication Sx of Opioids?

A

Pupillary Const + Slurred speech, drowiness, impairment

Euphoria => Apathy, dysphoria, psychomotor agitation/ retardation

17
Q

What are intoxication Sx of Sed/Hyp/Anxiolytics?

A

Sexual/Agressive Beh, mood lability, imp judgement
Slurred Speech, Incoordination, unsteady gait
Looks like EtOH intox
Flumazenil

18
Q

What are intoxication Sx of Stimulants?

A

Euphoria w/ vigor
Hyperactive
Pupillary Dilation
Tachy/Bradycardia

19
Q

Where is Dopamine Made?

A

Ventral Tegmental Area

20
Q

What is the MOA of Cocaine?

A

A Dopamine Reuptake inhibitor

21
Q

What are the Traits of Wernicke Korsakoff syndrome?

A 
Vitamin B1 Def (Thiamine)
Triad of: Confusion, Ataxia, Ocular Abn
Memory loss
Confabulation
Inability to form new memories
Hallucinations
22
Q

What are the Maint Thx for Alcohol Use disorder?

A

Naltrexone: Opioid antagonist
-Vivitriol is Extended form
Acaprosate: GABA and Glut
Disulfiriam: Accum of Acetaldehyde

23
Q

What are signs of Caffeine withdrawl?

A 
Headache
Fatigue/Drowsy
Dysphoric
Flu-Like Sx
Difficulty Conc
24
Q

What are signs of Synthetic Canabinoid Intoxication?

A

Psychosis. Anxiety, Irritability

25
Q

What is the Maint Thx for opioid use disorder?

A

Methadone: LA Opioid Agonist
Buprenorphine: Synth Part Ag
Naltrexone: Synth Ant

26
Q

What are the results of long term use of Stimulants?

A

Chaotic Beh
Social Isolation
Sexual Dysfunction
Aggressive Beh

27
Q

What are the withdrawl symptoms of Tobacco?

A

Irritation, Frustration, Anger, Anxiety, Dec Conc, Inc App,

28
Q

What are the Treatments of Tobacco abuse?

A

Beh Thx, Hypnosis, Nicotene Replacement, Buproprion, Varenicline

29
Q

What are the Stages of Tx of a substance abuse disorder?

A

Detoxification
Medically managed withdrawl
Short/long term residential
Counseling, AA

Psychiatry 2 (13 decks)

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