Shared Flashcard Set

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Clinical Med Psychiatry Substance Abuse Month 4 Week 4
Clinical Med Psychiatry Substance Abuse Month 4 Week 4
14
Medical
Graduate
08/18/2018

Additional Medical Flashcards

 


 

Cards

Term
Risk Factors for opiod addiction
Definition
• Personal history of substance use disorder
• Family history of substance use disorder • History of mental illness
• History of trauma
Term
assessments for pain management
Definition
• Level of pain
• Medication history
• Willingness for alternatives
• CT PMP • UDS
Term
red flags for opioid addiction
Definition
• Angry/hostile behavior
• Running out early
• Multiple other doctor visits
• Subjective euphoria
• Unwillingness to trial alternatives
Term
High Risk Behaviors, pain meds
Definition
• IV use
• Mixing with benzos/alcohol
• Previous Narcan administration
Term
Harm Reduction for pain management
Definition
• Do not pick up where you left off
• Know your supply
• Start low and go slow
• Do not mix substances • Do not use alone
• Have a Narcan kit available
Term
Medication Assisted Treatment for opiod addiction
Definition
• Buprenorphine
• Methadone
• Extended-Release Naltrexone
Term
Cocaine
Definition
• Dopamine reuptake inhibitor leading to supraphysiologic dopamine
• Crack is mixed with a base and highly addictive
• Intranasal->14.6 minutes to peak
• IV->3.1 minutes to peak
• Smoking->1.4 minutes to peak
Term
Cannabis
Definition
• THC = psychoactive
• CBD = sedating, not psychoactive
• Sativa and Indica are strains
• Generally dried flowers
• Oils and resins are also used/consumed
Term
cannabis slang
Definition
• Joint: rolled in paper
• Fatty: larger amount
• Doobie: king sized paper
• Blunt: Rolled with cigar wrapper with tobacco
• Pipes: glass with no filter
• Bongs: water filter
Term
Cannabis affects
Definition
-acute
• Improved mood, relaxation, increased confidence, distorted time and space, tachyardia, palpitations, anxiety, panic, confusion
• Withdrawal
• Anxiety, depression, mood changes, GI distress, insomnia
Term
Methamphetamine
Definition
• Crystal, ice, glass
• Direct dopamine increase
• “Breaking Bad”
• Can be manufactured with benign ingredients
Term
Methamphetamine affects
Definition
• Acute
• Intense pleasure, alertness, paranoia, tachycardia
• Chronic
• Weight loss, skin lesions, poor dentition, chronic anhedonia
Term
Cocaine affects
Definition
-acute
• Pleasure, alertness, energy, sexuality, tachycardia, paranoia, hypertension
- Crash
• Up to 7 days of dysthymia, hypersomnolence, irritability and craving
- Chronic
• Profound anhedonia
Term
drug addiction summary
Definition
• Opioid use disorder is a common and significant disorder that often results in overdose death
• Other drug disorders are also common and require acute and chronic management
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