Addiction

Question 1

CAGE Qs stand for:

Answer 1

Cut down
Annoyed
Guilty
Eye opener

Question 2

Biggest preventable cause of death/illness in women and infants

Answer 2

Smoking!

Question 3

Leading cause of preventable death

Answer 3

Smoking

Question 4

Pharmocotherapy used for opiods

Answer 4

Withdrawal: methadone

Maintenance:
Methadone & buprenorphine.
Naltrexone also for maintenance to reduce euphoria from opioids (but will make detox worse by blocking opioid receptors).

Question 5

CIWA-AR is for:

Answer 5

Alcohol withdrawal

Question 6

Pharmacotherapy for alcohol withdrawal:

Answer 6

Fluids
Benzos (hallucinations/fear)
Chlordiazepoxide (tremors)
Thiamine

Question 7

Pharmacotherapy for alcohol relapse prevention:

Answer 7

Disulfiram: aversion therapy (intense vomiting if drink alc — avoid cough syrup, mouthwash, sanitizer!) Daily oral pill.

Naltrexone: lessens highs/pleasures of alcohol. Monthly IM!

Question 8

Why give thiamine in addiction?

Answer 8

For alcohol use.
Short-term memory
Prevents Wernike’s encephalopathy & Kotsakoff syndrome (chronic, 80% permanent)

Question 9

Pharmacotherapy for smoking

Answer 9

Sm: nicotine, bupropion/Wellbutrin