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50 Cards in this Set
- Front
- Back
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Severe alcohol withdrawal
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Delerium tremens
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Treatment for Delerium tremens
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Benzodiazepines
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Alcohol use/intoxication Labs
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AST>ALT; Serum gamma glutamyltransferase is a sensitive indicator of alcohol use
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Withdrawal from opioids
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Not life threatening. Sweating, dialated pupils, piloerection..."Cold turkey"
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Treatment for Benzodiazepine intoxication
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Flumazenil
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Treatment for cocaine intoxication
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Benzodiazepines
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PCP Neurotransmitters
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Prevvents reuptake of DA, 5HT and NE
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PCP Intoxication
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Belligerence, very violent and scary (homicidality, psychosis, delerium).
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PCP Intoxication TX
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Benzos to calm down
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LSD unique feature of intoxication
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flashbacks
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Marijuana risk to teens
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Increased risk of schizophrenia
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Marijuana detection
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Can be detected up to 1 month post use
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Pinpoint pupils
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Opioids
Cholinergic agonists Organophosphates |
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Long acting treatments for heroin addiction
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Methadone
Suboxone |
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Treatment for Bulimia
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SSRIs
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Treatment for Bipolar disorder
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Lithium, Valproic acid, Carbamazepine, Atypical antipsychotics
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Antipsychotic names
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Haloperidol + "azine" drugs
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Receptor that all typical antipsychotics block and mechanism
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Block Dopamine D2 receptors, increasing cAMP
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Clinical use of typical antipsychotics
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Schizophrenia, psychosis, acute mania, Tourette's
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Toxicities for typical antipsychotics
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EPS side effects (dystonia, parkinsonian, restlessness, irreversible tardive dyskinesia)
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Olanzapine, Clozapine, Quetiapine, Risperidone, Aripiprazole, Zipasidone
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Atypical antipsychotis
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Clinical use of atypical antipsychotics
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Schizophrenia- both positive and negative symptoms
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Toxicity for Olanzapine/clozapine
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Can cause significant weight gain
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Monitoring for Clozapine
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Weekly WBC monitoring as Clozapine may cause agranulocytosis
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Lithium side effets
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MNOP: Movement (tremor); Nephrogenic diabetes insipidus; hypOthyroidism; Pregnancy problems (Ebstein's anomaly)
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Buspirone mechonism of action
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Stimulates 5HT1a receptors
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Buspirone clinical use
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Generalized anxiety disorder "I'm always anxous if the bus will be on time, so I take Buspirone"
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Toxicity of tricyclic antidepressants
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Tri C's: Convulsions, Coma, Cardiotoxicity (arrhythmia)
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Trycyclic antidepressant names
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TCAs end in -iptyline or -ipramine except doxepin and amoxapine
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SSRI names
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Fluoxetine
Paroxetine Sertraline Citalopram "FLashbacks PARalyze SEnior CITizens" |
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SSRI mechanism
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Serotonin specific reuptake inhibitors
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Major toxicity of SSRIs
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Serotonin syndrome: hyperthermia, myoclonus, CV collapse, flushing, diarrhea, seizures
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Treatment for serotonin syndrome
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Cyproheptadine (5HT2 receptor antagonist)
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SNRI drugs
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Venlafaxine, Duloxetine, Sibutramine
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SNRI indicated for diabetic peripheral neuropathy
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Duloxetine
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MAO Inhibitor used in Parkinsons
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Selegiline
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MAOI Drug Names
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Tranylcypromine, Phenelzine, Isocarboxazid, Selegiline
"MAO Takes Pride in Shanghai" |
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Buproprion
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Atypical antidepressant; also used for smoking cessation; No sexual side effects
"Makes you a PRO at sex" |
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Mirtazapine MOA
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Alpha 2 antagonist (increases release of NE and 5HT)
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Difference between displacement and projection
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Displacement is when avoided ideas and feelings are transferred to a person or object; Projection is when an unnacceptable internal impulse is attributed to an external source.
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Abused child identifies himself/herself as an abuser
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Identification
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Describing murder in graphic detail with no emotional response
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Isolation of affect
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Four types of mature defenses
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Alturism, Sublimation, Suppression, Humor
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Voluntary social withdrawal, limited emotional expression, content with social isolation
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Schizoid personality disorder
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Eccentric appearance, odd beleifs or magical thinking, interpersonal awkwardness
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Schizotypal personality disorder
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Cluster A Personality disorders
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"Weird"
Paranoid, Schizoid, Schizotypal |
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Difference between schizoid and avoidant personality disorders
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Avoidant peronality disorder patients desire relationships with others.
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Cluster B Personality Disorders
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Antisocial, Borderline, Histrionic, Narcissitic "Wild"
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Cluster C Personality Disorders
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Avoidant
Obsessive-compulsive Dependent |
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Obsessive Compulsive Personality Disorder vs. Obsessive Compulsive Disorder
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OCPD think that their way of living is better; OCD do not like having the dsorder
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