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Psych > Substance Use > Flashcards

Substance Use Flashcards

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1
Q

Maintenance for opiate use

A

Methadone OR buprenorphine

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2
Q

Can be used for tobacco USE to help patients stop

A

Buproprion OR varenicline

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3
Q

GIVE IV _______________ for delirium tremens from alcohol withdrawal

A

IV lorazepam

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4
Q

More than _____________ on the CAGE is indicative that an alcohol use disorder is likely

A

1 yes

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5
Q

Disinhibition. Impaired judgment. Emotional lability. Slurred speech. Ataxia. Aggression. Blackouts (retrograde amnesia). Coma

A

Alcohol intoxication

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6
Q

Alcohol intoxication can lead to

A

Hypoglycemia

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7
Q

Tremor, tachycardia, hypertension, seizures, agitation, hallucinations, delirium tremens

A

Alcohol withdrawal

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8
Q

Have a low safety margin and cause respiratory depression

A

Barbiturates

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9
Q

Withdrawal can cause life-threatening cardiovascular collapse. Seizures and delerium

A

Barbiturates

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10
Q

Can have interactions with alcohol

A

Benzos

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11
Q

Amnesia, ataxia, somnolence, mild respiratory depression

A

Benzo intoxication

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12
Q

Withdrawal = rebound anxiety, seizures, tremors, insomnia, hypertension, tachycardia

A

Benzo withdrawal

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13
Q

Intoxication = restlessness, insomnia, anxiety

A

Nicotine intoxication

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14
Q

Withdrawal = irritability, headaches, cravings, weight gain, anxiety

A

Nicotine withdrawal

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15
Q

Intoxication - restlessness, insomnia, diuresis, muscle twitching, arrhythmias, psychomotor agitation

A

Caffeine intoxication

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16
Q

Withdrawal - headache, lethargy, depression, weight gain, irritability, cravings

A

Caffeine withdrawal

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17
Q

Euphoria, slowed sense of time, impaired judgment, “heightened senses”

A

Marijuana

18
Q

Social withdrawal, increased appetite, dry mouth, diaphoresis (sweating), conjunctival injection (red eyes)

A

Marijuana

19
Q

Hallucinations, anxiety, paranoia, tachycardia, hypertension, no motivation

A

Marijuana

20
Q

MARKED anxiety or depression. PUPIL DILATION.
FLASHBACKS are long term consequence.
Delusions, visual hallucinations

A

LSD

21
Q

Treat - give reassurance and low stimulation environment. Benzos for severe symptoms

A

LSD

22
Q

Phencyclidine hydrochloride

A

PCP

23
Q

Belligerence, psychosis, violence, impulsiveness, psychomotor agitation

A

PCP

24
Q

Vertical and horizontal nystagmus

A

PCP

25
Q

Fever, tachycardia, ataxia, seizures, delirium

A

PCP

26
Q

Reassure.

IF SEVERE, give benzos or haloperidol

A

PCP

27
Q

Recurrence of intoxication symptoms due to reabsorption in GI tract - sudden onset of severe, random violence

A

PCP

28
Q

Intoxication - Euphoria leading to apathy. CNS depression, constipation, PUPIL CONSTRICTION, respiratory depression

A

Opioid intoxication

29
Q

Naloxone/Naltrexone will reverse effects

A

Opioids

30
Q

Long acting opioid

A

Methadone

31
Q

Withdrawal - anxiety, insomnia, anorexia, diaphoresis (sweating), dilated pupils (blown pupils), fever, rhinorrhea (runny nose), piloerection (goose bumps), nausea, stomach cramps, diarrhea, yawning, myalgia. Extremely uncomfortable, but rarely life threatening

A

Opioid withdrawal

32
Q

Intoxication - psychomotor agitation, impaired judgment, tachycardia, pupillary dilation (blown pupils), fever, diaphoresis (sweating), hypertension, paranoia, angina, arrhythmias, seizures, hallucinations, sudden death

A

Amphetamines/cocaine

33
Q

Treat intoxication with sedatives and benzos for severe agitation

A

Amphetamines/cocaine

34
Q

Post use “crash” with hypersomnolence, dysphoria (uneasy feeling), nightmares, depression, malaise, severe craving, suicidality

A

Amphetamine/cocaine withdrawal

35
Q

Check vitals signs for this for alcohol withdrawal

A

Tachycardia and hypertension

36
Q

Palmar erythema and spider angiomata indicate

A

Liver disease

37
Q

Macrocytosis.

Increased AST and GGT

A

Alcohol use disorder

38
Q

For alcohol withdrawal, start

A

Benzo taper (chlordiazepoxide, lorazepam).
Give multivitamins and folic acid.
Thiamine BEFORE GLUCOSE to prevent wernicke’s encephalopathy

39
Q

Disulfiram, naltrexone, and acamprosate can be used in

A

Alcohol withdrawal

40
Q

Acute and usually reversible ataxia. Confusion and ophthalmoplegia.

A

Wernicke’s encephalopathy

41
Q

Chronic. Often irreversible. Anterograde amnesia with OR without confabulation

A

Korsakoff’s syndrome

Psych (17 decks)

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