Toxicology and Psychology Flashcards
Acetaminophen
Pain and fever
Non-narcotic analgesic, not anti-inflammatory
Toxic to liver - antidote is activated charcoal and n-acetylcysteine
Acyclovir
Herpes infections
Antiviral
Aspirin
Pain and fever
NSAID antidote is IV fluids and sodium bicarb
Overdose - Tinnitus and respiratory acidosis
Benadryl
Allergic reaction
Antihistamine - anticholinergic
Cocaine
Pain and recreation
Non-opioid narcotic - local anesthetic effect, dilated pupils
Codeine
Pain and recreation
Narcotic
Chlorpromazine
Schizophrenia
Anti-psychotic
Colchicine
Gout
Anti-inflammatory
Heroin
Pain and recreation Opioid narcotic (poisoning looks like pinpoint pupils, coma and respiratory depression) Antidote nalaxone
Ibuprofen
Pain and fever
NSAID
Iron sulfate
Anemia
Mineral supplement - OD vomiting, diarrhea, ab pain, liver failure
Antidote desferoxamine
Imipramine
Depression, fibromyalgia, CFS
Tricyclic antidepressant - anticholinergic
Haldol
Insomnia
Sedative hypnotic
Naprosyn
Pain
NSAID
Valium
Anxiety and insomnia
Benzodiazipine sedative
Response to exposure that is less than expected
Antagonistic
Cancer risk values are over how many years?
70
Lethal dose 0/50
Lowest dose of a substance (dose of) introduced by any route other than inhalation which has been reported to have caused death in humans or animals (cause death 50% of defined experimental animal population)
LOAEL
Lowest observed adverse effect level to cause harm effects in people or animals
MRL
Minimal risk level
Dose of substance below which it is unlikely to cause harm
NOAEL
Highest tested dose that has been reported to have NO adverse effects level on people/animals
Any substance that injures or kills living things
Toxicant
VOC
Volatile organic compound - readily evaporate into air
Benzene, toluene, methylene chloride
If pt has HTN, elevated temperature, dilated pupils, rapid pulse what is the overdose on?
Antidepressants
Aflatotoxin
Poisoning
Poison produced by fungi (Aspergillus flavus)
Liver damage –> hepatocellular carcinoma
Arsenic
Poisoning
Chemical interferes w/pyruvate dehydrogenase, smells like garlic antidote is chelating agent like dimercaprol
Headaches, confusion, diarrhea, hematuria, drowsiness
Barbituate
Sedative hypnotic drug; respiratory depression, dilated pupils
Beta blockers
Tx HTN
Cause hypotension and bradycardia
Cholinergic
Mimic ACh
Carbamates, organophosphate (inhibit cholinesterase lead to pinpoint pupils, sweating, vomiting, bradycardia, and wheezing) insecticides (antidote atropine), mushrooms
Domoic acid
Neurotoxin produced by harmful algae found in red tide
Emetic
Vomiting-inducing substance - syrup of ipecac (not for petroleum or bleach)
Lead poisoning
Anemia, blue gum line, clumsiness, difficult behaviour, emesis
Antidote chelating agent like dimercaprol
Marijuana
Red eyes due to dilated blood vessels
Mercury poisoning
Heavy metal associated with seafood and top hat cleaning antidote chelating agent like dimercaprol
Red face, numbness in fingers, abnormal behaviour
Methanol
OD
alcohol from fermentation of wood product
Confusion, ataxia, blindness, coma
Tricyclic antidote?
Sodium bicarb
Freud
Id: selfish, primitive, childish, pleasure oriented personality, basic instincts
Superego: internalized social and parental standard or right and wrong
Ego: reality check in btw
Free association, dream analysis
Erikson
Infant - trust vs mistrust Toddler - autonomy vs shame and doubt Kindergarten - initiative vs guilt Childhood - industry vs inferiority Teen- identify vs role confusion YA - intimacy vs isolation Midlife - generativity vs stagnation Old age - ego integrity vs despair
Jung
Extrovert vs introvert, thinking vs intuitive, sensing vs feeling, judging vs perceiving
Dream analysis
Maslow
Basic survival - food, water Safety - shelter Social - friends Rewards - recognition Self actualization
The doctor redirects feelings towards a person onto the patient
Counter-transference
Dissociation
Temporary drastic mod of one’s ID or character to avoid emotional distress; separation or postponement of a feeling that normally would accompany a situation or thought
Unconsciously choosing to perceive another individual s having more positive qualities than he/she may have
Idealization
Somatization
Transformation of negative feelings to others into negative feelings to self, pain, illness, anxiety
Conversion of unacceptable urges into more socially acceptable behaviours
Sublimation
Antisocial personality disorder
Blatant disregard to law, lacks ability to feel guilty
Avoidant personality disorder
Marked feelings of inadequacy, very sensitive to criticism
Borderline personality disorder
Unpredictable, impulsive, sudden outbursts of anger or sadness
Cluster personality disorder
Odd grouping of paranoid and schizoid traits
Compulsive personality disorder
Preoccupation with orderliness and perfection
Histrionic personality disorder
Tendency to be dramatic, exaggerate and clingy
Multiple personality disorder
Ability to manifest personalities of a number of people
Narcissistic personality disorder
Preoccupation with self, always craving attention
Paranoid personality disorder
Unwarranted suspicious or defensive behaviour
Passive aggressive personality disorder
Stubborn and argumentative
Schizoid personality disorder
Introverted, oversensitive, seclusive, daydreams
DSM V criteria for depression:
Sadness + 4 of the following for 2 weeks:
Sleep disturbance, interest loss, guilt feelings, energy loss, concentration loss, appetite change, psychomotor retardation or agitation, suicidal thoughts
DSM V criteria for panic disorder:
Sudden onset of fear peaks in 10 minutes + 4:
chest pain, choking sensation, depersonalization, derealization, fear of dying, fear of losing control, nausea, numbness, sweating, SoB, palpitations
DSM V criteria for schizophrenia:
2 of the following for at least one month:
flattening of affect, inappropriate affect, faulty abstraction, thought insertion or broadcasting, hallucinations, loss of interest, poverty of speech or delusions
DSM V criteria for somatization disorder:
History of many physical complaints <39 years and all of the following: 4 pain symptoms in 4 different spots 2 GI symptoms 1 sexual complaint 1 pseudoneurological symptom
Aversion therapy works well with?
Phobias, addictions
Cognitive behavioural therapy works well with?
PTSD, Chronic fatigue syndrome
Therapist associated with:
Group
Body-oriented psychotherapy
Reality
Pratt
Reich
Glasser
Flooding therapy works well with?
Phobias
Beck inventory screens for?
Depression
Catatonia
Disturbance of motor behaviour (rigid position for long periods of time), agitated behaviour - schizophrenia
Confusion and shaking tremors from alcohol withdrawal:
Delirium tremens
Neologism
Making up new words (Schizophrenia)
Unconsciously suppressed behaviour expressed as oppposite behaviour in exaggerated form?
Reaction formation
Characteristics of successful therapists:
Genuineness, acceptance, tenderheartedness, empathy, willingness to share