LO2 - Detox & Withdrawal

Question 1

Withdrawal is..

Answer 1

The longer the drugs half life, the longer the withdrawal symptoms
General depression is a symptom

Question 2

Withdrawal for sedatives, hypnotics and anxiolytics

Answer 2

Peak at 24 hours
Lasts up to 1 week

Question 3

Withdrawal for lorazepam and oxazepam

Answer 3

6 to 8 hours after ended

Question 4

Withdrawal for diazepam

Answer 4

Not developed for a week or two
Withdrawal decreases after 3 to 4 weeks
15 mg can cause withdrawal
Higher doses can cause seizures or delirium

Question 5

Withdrawal for alcohol

Answer 5

Onset is 6 to 24 hours
Lasts 3-5 days

Question 6

Symptoms o alcohol withdrawal

Answer 6

Autonomic hyperactivity - sweating, pulse above 100 bpm
Hand tremor
Insomnia
Nausea/vomiting
Hallucinations
Psychomotor agitation
Anxiety
Tonic-clonic seizures

Question 7

Alcohol withdrawal medical emergencies

Answer 7

Disorientation
Delusions
Visual hallucinations
Seizures

Question 8

Wernickes symptoms

Answer 8

Ataxia - uncoordinated
Eye abnormalities
Mortality rate of 15-20%

Question 9

Korsakoff symptoms

Answer 9

Amnesia
Neurocognitive disorder (thiamine deficiency)

Question 10

Korsakoff symptoms

Answer 10

Amnesia
Neurocognitive disorder (thiamine deficiency)

Question 11

Detoxification definition

Answer 11

Early treatment stage
Body eliminates the substance

Initial and immediate goal to have meds alleviate unpleasant withdrawal symptoms

Question 12

3 strategies for detoxification

Answer 12

Agonist or substation therapy -used to induce cross tolerance to substance

Antagonist therapy - produce extinction by preventing user from experiencing the reinforcement effect

Aversion therapy - produce adverse reaction following ingestion

Question 13

Meds that and in alcohol withdrawal

Answer 13

Benzos
Barbiturates
Beta-blockers
Antabuse

Question 14

Stimulant withdrawal symptoms

Answer 14

Fatigue
Vivid, unpleasant dreams
Insomnia or hypersernia
Increased appetite
Psychomotor agitation or retardation

Question 15

Tobacco withdrawal symptoms

Answer 15

Irritability, frustration, anger
Anxiety
Difficulty concentration
Increased appetite
Restlessness
Depressed mood
insomnia

Question 16

Tobacco withdrawal

Answer 16

Begins within 24 hours
Peaks at 2 to 3 days
Lasts 2 to 3 weeks

Question 17

Half life of…
Amphetamine
Meth
Coke
MDMA

Answer 17

12-36 hours
8-17 hours
45-90 mins
7-9 hours

Question 18

Stimulant detox

Answer 18

No meds developed
Symptom management
Supportive and sympathetic care

Question 19

Opioid withdrawal symptoms

Answer 19

Dysphoric- mood
Nausea/vomiting
Muscle aches
Lacrimation or rhinorrhea
Pupil dilation, piloerection, sweating
Diarrhea
Yawning
Fever
Insomnia

Question 20

Short acting vs long acting opioid withdrawal

Answer 20

Short acting (heroine) - 6 to 12 hours, peaks at 1 to 3 days, gradually subsides over 5-7 days

Long acting (methadone or buprenorphine) - may emerge after 2-4 days can last for weeks to months

Question 21

Opioids meds

Answer 21

Acetaminophen plus codeine
Gravol-nausea
Clonidine - reduce anxiety and sweating
Methadone-low dose therapy

Question 22

Suboxone is….

Answer 22

Buprenorphine and naloxone

Question 23

How does methadone work?

Answer 23

Does not create euphoric feeling
Tolerance is very slow
Must be combined with other supports and services

Question 24

How does buprenorphine work?

Answer 24

Safe substation for heroin or opioids
Suboxone suppresses windrawal symptoms and reduce cravings
25 to. 50x more potent than morphine
Sublingual

Question 25

COWS scoring

Answer 25

5-12 mild 13-24 moderate 25-36 moderate severe 37+ severe When over 13, it should be redone every 12 hours

Question 26

Naloxone

Answer 26

Fast acting -reverses opioid overdose Can restore breathing in 2 to 5 mins Only works if felt; heroin, morphine or codeine are in your body

Question 27

Which hallucinogens have withdrawal symptoms

Answer 27

PCP Ketamine

Question 28

Cannabis withdrawal symptoms

Answer 28

Irritability Nervousness/anxiety Sleep difficulty Decreased appetite Restlessness Depressed mood At least one causing discomfort.: abdominal pain, shakiness-tremors, sweating, fever, chills or headaches

Question 29

Caffeine withdrawal symptoms

Answer 29

Headache Fatigue dysphoria, depressed mood, irritability Difficulty concentrating Flu like symptoms (nausea, vomiting, muscle pain)

Question 30

Caffeine withdrawal

Answer 30

12 to 24 hours Peaks at 1-2 days Last 2-9 days

Question 31

Inpatient treatment

Answer 31

Social detox is 7 to 14 days Need to be medically cleared Provides safe environment, food, meds and group therapy

Question 32

Outpatient treatment

Answer 32

Can remain at home Dally check ins Reviewed by physician Community paramedic detox at home program

Question 33

Youth detox and stabilization act

Answer 33

12 to 17 years old Involuntary for 15 days Form a submitted to judge