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MH ADDICTION 1
| Question | Answer |
|---|---|
| Withdrawal symptoms: begin 4-12 hours after sensation or market reduction. Course hand tremors,. Sweating. Elevated pulse.& BP. Insomnia. Anxiety. Nausea or vomiting. | Alcohol |
| transient hallucinations. Seizures. Delirium Usually peaks on day ___ Over in ____ days Withdrawal may last ? | Severe alcohol w/d 2--5 days 1--2 wks |
| Suppresses w/d symptoms | Lorazepam (Ativan) Chloriazepoxide (Librium) diazepam (Valium) |
| Clinical institute withdrawn assessment alcohol scale. ___ mild ___ moderate ____ severe | < 8 8--15 > 15 |
| ____Receive medication based scores of the scale alone ____ receive additional doses depending on the level of scores from the scam | Symptom-triggered dosing. Fixed dosed tapers |
| Initial: relaxation. Lost of inhibitions Intoxication: slurred speech. Unsteady gait. Let the coordination. Impaired attention. Concentration. Memory and judgment. May become aggressive. Inappropriate sex behavior. Blackout. | Alcohol |
| ____>>> Vomiting. Unconsciousness. Respiratory depression. This can lead to___ Alcohol induced___Can lead to cardiovascular shock & death | OD: Aspiration pneumonia/pulmonary obstruction Hypotension |
| Gastric lavage. Or. Dialysis (___). Respiratory support and cardiovascular functioning in? | Alcohol OD treatment similar for any CNS depressant. ICU (Remove the drug) |
| What is contraindicated for alcohol OD treatment | Central nervous system stimulants |
| Barbiturates. Nion-barbiturate hypnotics. Anxiolytics esp benzodiazepines are all___? The facts, symptoms of intoxication, and withdrawal symptoms are similar to___ | Central nervous system depressants. Alcohol |
| Prescribed dose is cause drowsy. Reduce anxiety. Intoxication slurred speech, lack of coordination, unsteady gait, labial mood, Impaired attention/memory, stupor and coma | Barbiturates. Non-barbiturate hypnotics. Anxiolytics esp benzodiazepines |
| Oral OD rarely fatal. Lethargic and confused. Tx : Gastric lavage followed by Pio of activated charcoal and Saline cathartic | Benzodiazepine |
| Lethal overdose. Coma. Respiratory arrest. Cardiac failure. Death TX. ICU. Lavage or dialysis. Respiratory support and cardiovascular function | Barbiturates |
| Onset of withdrawal depends___Of the drug | Half-life |
| Action last about 10 hours. Withdrawal symptoms and 6 to 8 hours | Lorazepam |
| May not produce symptoms for one week. | Diazepam |
| Autonomic hyperactivity: increased pulse, respirations and temperature), hand tremor, insomnia, anxiety, nausea, psychomotor agitation. Seizures and loosen nations only in severe withdrawal | Withdrawal syndrome from sedatives, hypnotics and anxiolytics |
| Detox managed medically by tapering to prevent coma and death | Barbiturates. Non-barbiturate hypnotics. Anxiolytics esp benzodiazepines |
| Excites the central nervous system. Limited clinical use ADHD. (Weight-loss/stay awake past use) Highly addictive Intense & immediate euphoria | Stimulant |
| Amphetamine. Methamphetamine Which is more dangerous? Made out of? | Stimulant Meth Liquid fertilizer |
| Intoxication: rapid high or euphoric feeling, Hyperactive, hypervigilance, talkative, anxious, grandiosity, hallucinations , stereotypic or repetitive behavior, anger, fighting, impaired judgment | Stimulant |
| Intoxication physiologic: Tecce cardio, elevated BP, dilated pupils, perspiration/chills, nausea, chest pain, confusion, cardiac dysrhythmias | Stimulant |
| Stimulant tx to control hallucinations, lower BP and relieve nausea | Antipsychotic Chlorpromazine (Thorazine) |
| Withdrawal with in few hours to several days after stopping. Not life-threatening Primary symptom--marked dysphoria Fatigue, vivid and unpleasant dreams, insomnia or hypersomnia, increased appetite and psychomotor retardation or agitation | Stimulant |
| Marked withdrawal symptoms ___ Depressive going suicidal ideation for several days. Not treated pharmacologically | Crashing Stimulants |
| Unapproved TX of glaucoma that lowers intraocular pressure. | Cannabis |
| Relieves N, V associated with cancer chemotherapy and anorexia and weight loss of aids. Approved for cancer chemo | Dronabinol (Marinol) Nabilone (Cesamet) |
| Acts in less than one minute. Peaks in 20 to 30 minutes & last 2--3 hrs. Feeling similar to alcohol, lowered inhibitions, relaxation euphoria, increased appetite | Cannabis |
| Intoxication: impaired motor coordination, inappropriate laughter, impaired judgment and short-term memory, distortion of time and perception | Cannabis |
| Withdrawal symptoms anxiety, dysphoria, social withdrawal. Increased appetite, Conjunctival injection (bloodshot eyes), dry mouth, hypotension, tachycardia or | Cannabis |
| Excessive use: delirium rarely psychotic disorders | Cannabis |
| Withdrawal: muscle lakes, sweating, anxiety, tremors. No clinical withdrawal syndrome | Cannabis |
| Desensitize both physiologic and psychologic pain. Induce euphoria & well-being. | Opioids |
| Morphine, meperidine (Demerol), codeine, hydromorphone, oxycodone, methadone, oxymorphone, hydrocodone, propoxyphene | Opioids |
| Illegal: heroin, normethadone | Opioids |
| Intoxication: initial euphoria, Apathy, what the Arctic, listless, impaired judgment, psychomotor retardation or agitation, constricted pupils, drowsing, slurred speech, impaired attention and memory. | Opioids |
| Severe intoxication or overdose: coma, respiratory depression, pupillary constriction, unconsciousness and death | Opioids |
| Opioid treatment How often tx to get to non toxic levels? | Naloxone (Narcac) Every few hrs (can take days) |
| Withdrawal begins with stepping the drug or decrease in use. Initial symptoms: Anxiety restless, aching back and legs, craving for drug | Opioids |
| What's wrong progresses to: nausea, vomiting, dysphoria, lacrimation, rhinorrhea, sweating, diarrhea, yawning, fever, insomnia | Opioids |
| Do opioids require Pharmacologic intervention to support life or bodily function | No |
| Shorty Acting heroin withdrawal symptoms occur in_? Peak in_? Subside in_? | 6--24 hrs 2--3 days 5--7 days |
| Long acting methadone withdrawal symptoms for_? Subside and_? | 2--4 days 2 weeks |
| Heroin substitution___ Withdrawal symptoms: anxiety, insomnia, dysphoria, anhedonia, drug cravings can last for___? | Methadone. Weeks or months |
| Distorts perception of reality and produces symptoms similar to psychosis, hallucinations (usu Visual) the personalization, | Hallucinogens |
| Increase Pulse, blood pressure, and temperature; dilated pupils; hyperreflexia | Hallucinogens |
| Mescaline, psilocybin, lysergic acid diethyamide Designer drugs Ecstasy PCP (anesthetic) | Hallucinogen |
| Intoxication: maladaptive behavioral and psychological changes: anxiety, depression, paranoid, ideas of reference, fear of losing one's mind, dangerous behavior (believing you can fly and jumping out a window) | Hallucinogen |
| Intoxication symptoms (physiologic sees sweating, take care of you, palpitations, blurred vision, tremors, lac coordination | Hallucinogen |
| Intoxication: Belligerent, aggression, impulsive, unpredictable behaviors | PCP |
| Toxic reactions: primarily psychologic. Overdoses don't occur. Fatalities r/t accidents, aggression, suicide. (Except for PCP) | Hallucinogens |
| TX: supportive psychotic reaction: isolation from external stimuli; physical restraints (Safety of PT and others) | Hallucinogens |
| Toxicity seizures, hypertension, hyperthermia, respiratory depression | PCP |
| Meds to control seizures and beeping. Cooling device/hyperthermia blanket, mechanical ventilation/support respirations | PCP |
| No withdrawal syndrome. Crave drug. Flashbacks--transient recurrence of perceptual disturbance. Occur After all trace of drug is gone. Can persist for months up to f5 years | Hallucinogens |
| Anesthetic, nitrates, and organic solvents Most common ALIPHATIC and aromatic hydrocarbons in ____ | Inhalants. Gasoline, glue, paint thinner, spray paint |
| Intoxication: dizzy, nystagmus, lack of coordination, slurred speech, unsteady gait, tremor, muscles, blurred vision. Stupor and coma | Inhalants |
| Belligerents, aggression, apathy, impaired judgment, inability to function | Inhalants |
| Acute toxicity: anorexia, respiratory depression, vagal stimulation, dysrhythmia. Death D/T bronchospasm, cardiac arrest, suffocation, aspiration | Inhalants |
| No withdrawal symptoms or detox. Psychologic cravings. May have persistent dementia. Psychosis, anxiety, mood disorders even when drug is ceased | Inhalants |
| Methadone | Heroin |
| Naltrexone (Trexan or ReVia) | Opiate |
| Blocks opiate withdrawal & S&S | Buprenorphine agonist |
| Disulfiram (Anabuse) | Alcohol |
| Calms glutamate receptors for alcohol | Acomprosate |
| Non-opioid suppressor of opiate withdraw symptom | Clonidine (Catapres) alpha antagonist |
Created by:
srchilds
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