Psych Drugs and Treatments

Question 1

Symptoms of Opioid Intoxication

Answer 1

-Euphoria and Sedation
-Slow, slurred speech
-Pupillary constriction (narcotics are miotics)
-AMS
-Respiratory depression
-Bradycardia
-Hypotension

Question 2

Opioid Withdrawal

Answer 2

-Lacrimation
-Hypertension
-Pruritis
-Pupil dilation (mydriasis)
-Flu-like symptoms: rhinorrhea, joint paints, myalgias
-Piloerections (goosebumps)
-Tearing

Question 3

Management for Opioids
-Intoxication
-Withdrawal
-Dependence

Answer 3

-Intoxication: Naloxone
-Withdrawal: Clonidine
-Dependence: Methadone, Naltrexone, Buprenorphine

Question 4

Alcohol Withdrawal
-Uncomplicated
-Withdrawal Seizures
-Alcoholic hallucinosis
-Delirum Tremens

Answer 4

Uncomplicated: 6-36 hours after last drink. Increased CNS activity (tremors, anxiety, irritability, GI, insomnia. NO SEIZURES OR HALLUCINATIONS.

-Seizures: 6-48 hours after last drink. Tonic-clonic type.

-Hallucinosis: 12-48 hours after last drink. Clear sensorium and normal vital signs.

-Delirium Tremens: 2-5 days after last drink. Delirium, abnormal vital signs, diaphoretic.

Question 5

Treatment for alcohol withdrawal

Answer 5

-Can be fatal
-IV Benzodiazepines
-IVF, IV Thiamine (B1), magnesium, multivitamins, electrolyte repletion

Question 6

Cocaine Intoxication Symptoms

Answer 6

-Elevated or euphoric mood
-Pressured speech
-Nausea, vomiting, seizures
-Pupillary dilation (mydriasis)
-Respiratory depression, seizures, repetitive behaviors
-Aggression, Agitation

Question 7

Treatment for cocaine intoxication

Answer 7

-Benzos for mild
-Severe or psychosis: Haloperidol, DO NOT PLACE IN RESTRAINTS –> rhabdomyolysis

Question 8

Symptoms of PCP Intoxication

Answer 8

-Rage, fear, impulsivity
-Hallucinations
-Multidirectional nystagmus
-Ataxia, tachycardia

Question 9

Treatment for PCP Intoxication

Answer 9

-Supportive: airway, breathing, circulation
-Benzodiazepines if agitated, hypertensive, seizures

Question 10

Symptoms of cannabis intoxication

Answer 10

-Euphoria
-Anxiety, dry cotton mouth
-Increased appetite
-motor impairment
-Fear/depression
-Psychosis
-Conjunctivitis
-Tachycardia, hypotension

Question 11

Wernicke’s Encephalopathy

Answer 11

-Triad of ataxia, confusion, and oculomotor palsy (due to thiamine/B1 deficiency)

Question 12

Korsakoff Syndrome

Answer 12

Amnesia (both retrograde and antegrade)
–past memory and can’t form new memory

Question 13

What is used to treat benzodiazepine intoxication?

Answer 13

Flumazenil