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Flashcards in Psyc10 Deck (25):
1

Nonspecific signs of Depressant intoxication.

Mood elevation
DEcreased anxiety
Sedation
Behavioral disinhibition
Respiratory depression

2

Nonspecific signs of Depressant withdrawal.

Anxiety
Tremor
Seizures
Insomnia

3

What are the classes of Depressants.

Alcohol
Opioids
Barbiturates
Benzodiazepines

4

What are the signs of Alcohol intoxication?

Emotional lability
Slurred speech
Ataxia
Coma
Blackouts

5

What are the lab findings associated with alcohol intoxication?

Serum gamma-glutamyltransferase (GGT)
-sensitive indicator of alcohol use
Lab AST value twice that of ALT

6

What is the treatment for Delirium Tremens?

Benzodiazepines

7

What are the signs of Opioid intoxication?

Euphoria
Respiratory & CNS depression
DEcreased Gag reflex
Pupillary constriction - "Pinpoint pupils"
Seizures (Overdose)

8

What is the treatment for Opioid intoxication?

Naloxone
Naltrexone

9

What are the signs of Opioid withdrawal?

Sweating
Dilated pupils
Piloerection ("cold turkey)
Fever
Rhinorrhea
Yawning
Nausea/Diarrhea ("flu-like sxs)

10

What is the treatment for Opiod withdrawal?

Long-term support
Methadone
Buprenorphine

11

What are the signs for Barbituate intoxication?

*Low safety margin*
Marked respiratory depression

12

What is the treatment for barbituate intoxication?

Symptom management:
-Assist respiration
-INcreased BP

13

What are the signs of Barbituate withdrawals?

Delirium
Life-Threatening Cardiovascular collapse

14

What are the sings of Benzodiazepine intoxication?

*Greater safety margin*
Ataxia
Minor respiratory depression

15

What is the treatment for Benzodiazepine intoxication?

Flumazenil (GABA antagonist)

16

What are the withdrawal symptoms of Benzodiazepines?

Sleep disturbance
Depression
Rebound anxiety
Seizure (severe)

17

What depressant has a synergistic with alcohol?

Benzodiazepines

18

What conditions are Heroin addicts at an increased risk of?

Hapatitis
Abscesses
Overdose
Hemorrhoids
AIDS
RIGHT-SIDED Endocarditis

19

What is the triad for Wernicke-Korsakoff syndrome?

*AKA - Wernicke's encephalopathy"
Confusion
Opthalmoplegia
Ataxia

20

What is Wernicke-Korsakoff syndrome caused by?

Thiamine deficiency

21

What is Wernicke-Korsakoff syndrome associated with?

Periventricular hemorrhage
Necrosis of MAMILLARY bodies
Cardiomyopathies

22

What is mallory-weiss syndrome?

Longitudinal lacerations at the agastroesophageal junction caused by excessive vomiting

often presents with hematesmesis

23

T/F - Mallow-Weiss tears are painful.

True

Esophageal varices - NO PAIN

24

When is the onset of Delirium Tremens?

2-5 days after last drink

25

How do you treat DTs?

Benzodiazepines