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Clin med Psych > SUD > Flashcards

SUD Flashcards

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1
Q

What is the DSM 5 criteria for SUD

A

2 of 11 clinically significant impairments from a maladaptive pattern of substance use

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2
Q

In order to qualify for opioid treatment, what requirements must you meet

A

Living at a severity of moderate or severe for at least a year

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3
Q

What factor exerts significant influence of drugs on people

A

Environment and associations

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4
Q

What are goals of treatment with SUD

A

Mitigate withdrawal symptoms
Dampen / eliminate cravings

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5
Q

How can you mitigate withdrawal symptoms

A

detox

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6
Q

What type of medications can be used to help with detox

A

Alpha adrenergic blockade (clonidine / acebutolol)
Anxiolytics (long acting benzos)
antidiarrheals
antispasmodics
hypnotics

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7
Q

What occurs with a BAC of .8 - 1.0

A

Impaired judgment, motor function

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8
Q

What occurs with a BAC of 1.5 - 2.0

A

Ataxia
Marked decrease run time
blackout

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9
Q

What occurs at a BAC 3.0-4.0

A

Unconsciousness

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10
Q

What is a lethal BAC level

A

4.0-5.0

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11
Q

If a patient has a BAC of 2.5 but is able to talk to you… what is the concern and how do you handle

A

Siezures from their BAC dropping to low

Give normal saline

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12
Q

When does alcohol withdrawal delirium happen

A

72-96 hours after last drink

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13
Q

What symptoms will someone in alcohol withdrawal delirium show

A

Sympathetic hyperactivity
confusion / disorientation
Hallucinations

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14
Q

What hallucinations will occur in someone going through alcohol withdrawal

A

visual - seeing pink elephants
auditory - buzzing/clicking to voices
Tactile - pins/needles or bugs on skin

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15
Q

How long does alcohol withdrawal delirium typically last

A

typically 3-4 days

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16
Q

Why should you not give someone going through alcohol withdrawal D5

A

D5 will deplete the stores of B vitamins

Alcohol withdrawal people already have lose thiamine… will cause things to get so much worse

17
Q

What drugs are considered opioids

A

Opium
Morphine
Codeine
Heroin

18
Q

What are semi-synthetic opioids

A

oxycodone (Percocet / oxycontin)
hydrocodone (Vicodin / lortab)
hydromorphone (dilaudid)
methadone
meperidine (Demerol)
fentanyl

19
Q

What opioid is not readily reversible with Narcan

A

Fentanyl

20
Q

What drug can cause stone chest

A

Fentanyl

21
Q

What is stone chest

A

intractable spasm of intercostal muscles

22
Q

What is the gold standard for opioid treatment

A

Methadone

23
Q

What arrythmia can methadone cause

A

Tordade de Pointe
(multifocal ventricular arrhythmia)

Clin med Psych (10 decks)

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