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9 Cards in this Set
- Front
- Back
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What do alpha-adrenergic and beta-adrenergic drugs do (reduce it to the ridiculous)
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A-adrenergic = increases arterial tone
B-adrenergic = increases heart rate |
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What is a cardiovascular complication of stim/amph use?
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Dilated cardiomyopathy. REDUCED ventricular fxn.
BUGS! formigation. Stimulant withdrawals? |
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Would you treat a coked up patient with B-blockers?
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DEPENDS ON WHAT IS WRONG WITH THEM
IF MYOCARDIAL INFARCT THEN NO! Because this could result in alpha-adrenergic system to be unopposed (creating a sharp increase in BP) IF AORTIC DISSECTION, THEN YES! Slow heart rate so that less blood is spilling out into the intima. |
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What are the two pathways to intracranial hemorrhages in cocaine use?
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Anuerysm --> Subarachnoid bleed
Hypertensive --> Intracerebral bleed |
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Can cocaine use lead to muscle breakdown?
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YES! Hypermetabolic state.
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What is GHB used for?
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Liquid ecstacy! Narcolepsy.
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What is the biggest risk of death in opioid users?
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CNS depression, particularly in the brainstem, dealing with cardiorespiratory centers. Hypoxic drive is decreased. pCO2 is less sensitive.
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What is the BIGGEST RISK for transmitting Hepatitis C?
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Intravenous DRUG USE! IDU!
DO NOT SAY SEX FOR HEP C! DO NOT DRINK WITH HEP C B/C CAN LEAD TO CIRRHOSIS |
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What is the biggest bacterial risk for contamination in IDU?
What can it lead to? |
STAPH AUREUS!
ENDOCARDITIS! Bacteria get to heart and start chewing away at valves primarily. Usually identified as L-sided heart murmor. TREAT WITH IV ANTIBIOTIC AND POTENTIAL VALVE REPLACEMENT |
