Addiction Flashcards
What are the 5 stages of change?
- Pre-contemplative (denial)
- Contemplative (accepted)
- Preparation (first steps)
- Action
- Maintenance
What are the 5 stages of change?
- Pre-contemplative
- Contemplative
- Preparation
- Action
- Maintenance
What are signs of Alcohol intoxication?
Disinhibition
Slurred speech and ataxic gait
N/V, coma
What is the treatment for severe alcohol intoxication?
Thiamine FIRST
D50 (glucose/folic acid)
To prevent Wernicke’s Encephalopathy what is the order of treatment?
Thiamine
D50 (glucose/folic acid)
Wernicke’s Encephalopathy is reversible. What are the signs?
Ataxia
Encephalopathy
Ocular manifestations
Korsakoff’s is irreversible. What is the main sign?
Confabulation
For what 2 substances can withdrawal be FATAL?
Alcohol
Benzodiazepines
How long after Alcohol/Benzodiazepines withdrawal do symptoms begin to arise?
48-72 hours
What are the main withdrawal symptoms from Alcohol/Benzodiazepines?
EXCITATION
- Agitation
- Diaphoresis
- Tremor and Seizures
What are the main withdrawal symptoms from Alcohol/Benzodiazepines?
EXCITATION
- Agitation
- Diaphoresis
- Tremor and Seizures
Why are withdrawal symptoms from Alcohol/Benzodiazepines excitatory?
Alcohol and Benzos increase GABA = inhibition
–> Without GABA = no inhibition = excitation
What clinical score can be used to grade withdrawal from Alcohol/Benzodiazpines?
CIWA score
What is the treatment for Alcohol/Benzodiazepines withdrawal?
Benzodiazepine taper
What is the treatment for Alcohol/Benzodiazepines withdrawal?
Benzodiazepine taper
What specific lab changes may you see with Alcohol Use Disorder?
Elevated AST»ALT; High LDH too
What is the best initial treatment for Alcohol Use Disorder?
Naltrexone + AA
What is the best initial treatment for Alcohol Use Disorder?
Naltrexone + AA
- Reduces cravings and can start while still drinking
What drug can be used to produce unpleasant reactions to ingested alcohol?
Disulfiram
What are symptoms of Opiate intoxication?
Euphoria
LOW RR and constricted pupils
Track marks
Coma
What are symptoms of Opiate intoxication?
Euphoria
LOW RR and constricted pupils
Track marks
Coma
Opiate intoxication causes diarrhea or constipation?
Constipation
Best treatment for acute opiate intoxication?
Opioid antagonists = Naloxone or Naltrexone
What is a treatment option for chronic use of opiates?
Methadone – opioid agonist