Psychology #5 Flashcards
(27 cards)
What are symptoms of nicotine withdrawal?
-Restlessness, Anxiety, Increased appetite, headache, depression, weight gain
How do you manage Nicotine dependence?
-Counseling, support therapy
-Nicotine tapering therapy: gum, patches, etc.
-Bupropion: dopamine and norepinephrine uptake inhibitor
-Varenicline: blocks nicotine receptors
With varenicline, when should you start it and when should you discontinue it?
Start 1 week prior to quit date and continue 4 months after
What are some side effects of Buproprion?
Start 1-2 weeks prior to quit date and continue 4-6 months after
Seizures (lowers threshold)
Weight loss, insomnia, hypertension, headache
Avoid abrupt withdrawal
What are symptoms of opioid intoxication (Heroin, Codeine, Hydrocodone, Oxycodone)
-Euphoria and sedation
-Pupillary constriction, AMS
-Respiratory depression
-Biot’s Breathing: quick shallow –> apnea
-Bradycardia
-Hypotension
Symptoms of opioid withdrawal
-Lacrimation
-Mydriasis
-Rhinorrhea
-Flu Like Symptoms
-Piloerections
Management for opioid intoxication
-Naloxone
Management for opioid withdrawal
-Clonidine
-Benzos for symptom control
Methadone is used for opioid _______
dependence/long-term use
Symptoms of LSD intoxication
-Visual hallucinations, synesthesias (seeing sound as color), pupillary dilation, delusions
What are symptoms of stimulants/cocaine/amphetamine intoxication? (Ecstasy, Meth, Adderall, MDMA)
-Euphoric Mood, Pressured Speech, Aggression, Agitation
Intoxication with Benzo’s has symptoms such as
Treatment?
-Depression, aggression, erratic behavior, ataxia
Flumenazil
Marijuana binds to _____ and ___________.
Symptoms of intoxication include…
-CB1 and CB2 cannabinoid receptors
Euphoria, dry mouth, increased appetite, motor impairment
Conjunctivitis, tachycardia, hypotension
What are some withdrawal symptoms of marijuana?
-Insomnia, irritability, depression, diarrhea
Explain how cocaine works
What are symptoms of intoxication?
Stimulant effect via inhibition of reuptake of dopamine, norepinephrine, and epinephrine
Elevated/euphoric mood, pressured speech, n/v, seizures, increased motor activity, tremor, mydriasis, MI, stroke
Treatment for cocaine intoxication
-Benzos for mild
-Severe or Psychosis: Antipsychotics
–No restraints–> rhabdomyolysis
Symptoms of cocaine withdrawal
-Hypersomnia, anhedonia, depression, increased appetite, miosis (constriction), suicidal ideation
PCP has a short onset (1-4 hours) and symptoms of intoxication include
-Impulsiveness, rage, hallucinations, multidirectional nystagmus, ataxia, dry skin
What screening should be used for alcohol dependence? What’s considered positive?
CAGE
-Cutdown: ever felt the need to
-Annoyed: people told you they are
-Guilt: feel guilty
-Eye Opener
2 or more is positive
Treatment for alcohol dependence
-Support groups
-Antabuse (Disulfiram)
-Naltrexone
Explain how Antabuse (Disulfiram) works
-Inhibits aldehyde dehydrogenase (enzyme needed to metabolize alcohol) –> leads to hypotension, palpitations, headache, n/v when alcohol is ingested
At what time frame do seizures start happening in alcohol withdrawal?
6-48 hours
Tonic Clonic, single brief episode
Hallucinosis occurs how many hours after the last drink in alcohol withdrawal?
12-48 hours
Visual, auditory, and tactile
Clean sensorium and vital signs
Delirium Tremens, occurs 2-5 days after the last drink, is…
Delirium, Abnormal vital signs, and hallucinations
“Something crawling on my skin”
