Addiction Flashcards

1
Q

What are the 5 stages of change?

A
  1. Pre-contemplative (denial)
  2. Contemplative (accepted)
  3. Preparation (first steps)
  4. Action
  5. Maintenance
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2
Q

What are the 5 stages of change?

A
  1. Pre-contemplative
  2. Contemplative
  3. Preparation
  4. Action
  5. Maintenance
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3
Q

What are signs of Alcohol intoxication?

A

Disinhibition
Slurred speech and ataxic gait
N/V, coma

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4
Q

What is the treatment for severe alcohol intoxication?

A

Thiamine FIRST
D50 (glucose/folic acid)

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5
Q

To prevent Wernicke’s Encephalopathy what is the order of treatment?

A

Thiamine
D50 (glucose/folic acid)

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6
Q

Wernicke’s Encephalopathy is reversible. What are the signs?

A

Ataxia
Encephalopathy
Ocular manifestations

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7
Q

Korsakoff’s is irreversible. What is the main sign?

A

Confabulation

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8
Q

For what 2 substances can withdrawal be FATAL?

A

Alcohol
Benzodiazepines

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9
Q

How long after Alcohol/Benzodiazepines withdrawal do symptoms begin to arise?

A

48-72 hours

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10
Q

What are the main withdrawal symptoms from Alcohol/Benzodiazepines?

A

EXCITATION
- Agitation
- Diaphoresis
- Tremor and Seizures

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11
Q

What are the main withdrawal symptoms from Alcohol/Benzodiazepines?

A

EXCITATION
- Agitation
- Diaphoresis
- Tremor and Seizures

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12
Q

Why are withdrawal symptoms from Alcohol/Benzodiazepines excitatory?

A

Alcohol and Benzos increase GABA = inhibition
–> Without GABA = no inhibition = excitation

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13
Q

What clinical score can be used to grade withdrawal from Alcohol/Benzodiazpines?

A

CIWA score

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14
Q

What is the treatment for Alcohol/Benzodiazepines withdrawal?

A

Benzodiazepine taper

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15
Q

What is the treatment for Alcohol/Benzodiazepines withdrawal?

A

Benzodiazepine taper

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16
Q

What specific lab changes may you see with Alcohol Use Disorder?

A

Elevated AST»ALT; High LDH too

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17
Q

What is the best initial treatment for Alcohol Use Disorder?

A

Naltrexone + AA

18
Q

What is the best initial treatment for Alcohol Use Disorder?

A

Naltrexone + AA
- Reduces cravings and can start while still drinking

19
Q

What drug can be used to produce unpleasant reactions to ingested alcohol?

A

Disulfiram

20
Q

What are symptoms of Opiate intoxication?

A

Euphoria
LOW RR and constricted pupils
Track marks
Coma

21
Q

What are symptoms of Opiate intoxication?

A

Euphoria
LOW RR and constricted pupils
Track marks
Coma

22
Q

Opiate intoxication causes diarrhea or constipation?

A

Constipation

23
Q

Best treatment for acute opiate intoxication?

A

Opioid antagonists = Naloxone or Naltrexone

24
Q

What is a treatment option for chronic use of opiates?

A

Methadone – opioid agonist

25
What are symptoms of Opiate withdrawal?
Pain all over Crampy abdominal pain Lacrimation, yawning, etc.
26
What are the symptoms of Opiate withdrawal?
Pain all over Crampy abdominal pain Lacrimation, yawning, etc.
27
Constricted pupils points towards intoxication with?
Opiates
28
Dilated pupils points towards intoxication with?
Cocaine Amphetamines MDMA
29
What are symptoms of Cocaine intoxication?
Psychomotor agitation Dilated pupils HTN, HIGH HR Feeling of bugs crawling on them ECG changes
30
What are symptoms of Cocaine intoxication?
Psychomotor agitation Dilated pupils HTN, HIGH HR Feeling of bugs crawling on them ECG changes
31
If you are going to treat Cocaine intoxication, what blockers should be used first?
Alpha blockers and then Beta blockers
32
What are symptoms of Amphetamine/MDMA intoxication?
Psychosis Dilated pupils Overheating Hallucinations
33
What are symptoms of Amphetamine/MDMA intoxication?
Psychosis Dilated pupils Overheating Hallucinations
34
What are symptoms of PCP intoxication?
VIOLENCE Exaggerated strength Horizontal/Vertical NYSTAGMUS
35
What are symptoms of PCP intoxication?
VIOLENCE Exaggerated strength Horizontal/Vertical NYSTAGMUS
36
With withdrawal from PCP what may be seen?
Random outbursts of violence
37
What are symptoms of LSD intoxication?
Hallucinations Flashbacks Heightened senses
38
What are symptoms of LSD intoxication?
Hallucinations Flashbacks Heightened senses
39
What are symptoms of Marijuana intoxication?
Tired/slow reflexes Conjunctivitis Munchies with dry mouth
40
What are symptoms of Marijuana intoxication?
Tired/slow reflexes Conjunctivitis Munchies with dry mouth