addiction Flashcards Preview

Psych > addiction > Flashcards

Flashcards in addiction Deck (35):
1

problems from heroin

N&V, constipation, respiratory depression, LOC. injections- local abscess, cellulitis, osteomyelitis, septicaemia

2

acute problems from benzos

forgetful, drowsy, impaired concentration. IV- limb ischaemia

3

what does cocaine potentiate (neurotransmitters)

dopamine, serotonin and NA and blocks their reuptake

4

long term effects of stimulants

dependence, anxiety, irritability and restlessness, mood disturbances, psychosis

5

medical side effects stimulants

cardiac arrhythmias, MI, chest pain, resp arrest, CVAs, headache, epileptic seizure

6

what does MDMA do to neurotransmitters

increase serotonin

7

how long can urine tests stay +ve after cannabis

1 month

8

side effects of cannabis

paranoia, panic attacks, delayed reaction times, chronic- dysthmic, anxiety, amotivational syndrome

9

side effects anabolic steroids

hypertension, hypogonadism, gynaecomastia, amenorrhoea, liver damage, impotence, aggressive, fatigue

10

opiate detox what drugs can be used

methadone 50-100mg a day. buprenorphine 16mg a day

11

symptomatic medication used in detox

lofexidine, loperamide

12

what medication is used post detox once opiate free

naltrexone

13

what drug is used in opiate overdose

naloxone

14

what happens to tolerance in detox

decreased tolerance so more chance of OD

15

withdrawal symptoms benzos

anxiety, insomnia, tremor, agitation, headache, nausea, sweating, depersonalisation, delirium

16

what can you use to treat benzo withdrawal

diazepam

17

how does methadone work

saturates the opiate receptors in the brain

18

harm reduction drugs

needle exchange, information about infections, infection testing and vaccination

19

how much alcohol can be metabolised per hour

1 unit (8g)

20

where is 98% alcohol metabolised

liver

21

how is alcohol measured

blood alcohol concentration

22

if you have alcohol tolerance what is the relationship between blood alcohol conc and intoxication

high BAC not intoxicated

23

what happens with alcohol and asian people

metabolically inactive form alcohol dehydrogenase, get a flushing reaction

24

complications alcohol misuse

acute toxicity, coma, risk aspiration, hypoglycaemia, acute renal failure. psych- delirium, amnesia, Wernicke Korsakoffs

25

what markers are there in the blood for excess alcohol consumption

incr MCV, Y-GT, CDT

26

assessment patient alcohol misuse

life time pattern, current pattern, signs de[endence, problems related to alcohol, prev treatment attempts, pt goals, FHx

27

advised units for men and women

21 units a week men, 14 women. at least 2 days non drinking

28

withdrawal alcohol

malaise, nausea, autonomic hyperactivity, tremulousness, labile, insomnia, hallucinations, illusions, seizures. delirium tremens in 5%

29

signs of alcohol dependence

CANT SSTOP . compulsion, aware of harms, neglect of other activities, tolerance to alcohol, stopping causes withdrawal, stereotyped pattern of drinking, time preoccupied with alcohol, out of control use, persistent wish to cut down

30

what questionnaire can be used to detect alcohol dependence

CAGE questionnaire- have you tried to Cut down your drinking; have people Annoyed you by suggesting you do so; have you felt Guilty about drinking; have you needed an Eye opener

31

what is foetal alcohol syndrome characterised by

decreased muscle tone, poor coordination, developmental delay, heart defects, a range of facial abnormalities

32

management alcohol addiction

acute detox- in hospital if risk of delirium tremens or seizures, benzo- chlordiazepoxide or diazepam, rehhydration correction of electrolytes, oral or parenteral thiamine

33

how can delirium tremens be treated

lorazepam or antipsychotics- haloperidol, olanzapine

34

what is delirium tremens

psychotic- delirium, tremors, hallucinations, anxiety

35

medication which may help maintain abstinence after detox

disulfiram- blocks alcohol metabolism, acamprosate- works on GABA, naltrexone