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15 Cards in this Set
- Front
- Back
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what are the stage of change
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Pre-contemplation - needs education and encouragement
Contemplation - needs personalized feedback Decision - needs a plan for how to proceed Action - determine level of treatment needed and begin the process of recovery,Maintenance - relapse prevention, Relapse - pick up where ever the person has re-entered the cycle |
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what is the drug of choice for treating alcohol withdrawal
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Lorazepam (Ativan) is the Benzodiazepine of choice in most cases. Used in tapering doses over a 3-7 day period, average of 5 days for detoxification. dont use until BAC <100
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what sign cause you to begin ativan at 2mg
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pulse>110 and diastolic BP >100
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how do you treat delerium tremens
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supportive care
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what drugs are no longer approved to treat alcohol withdrawal
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Hydroxyzine
Chlorpromazine Paraldehyde Barbiturates Ethanol |
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what is the difference between alcohol withdrawl from Sedative/Hypnotic/Anxiolytic Detoxification
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1. Symptoms of withdrawal are identical to alcohol and risk of seizures and DT's are also present, however the detoxification period may need to be prolonged depending on the length of time and amount of drug used.
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how do you taper someone of shorter acting benzo
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with longer act benzo
yo u may need and anticonvulsant as well |
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which drugs are good for treatment of withdrawal from narcotics such as heroin
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clonidine ( keep increasing until 1.2 mg and monitor BP)
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what drugs are good for treatment of cocaine and amphetamine withdrawal
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benzo for anxiety and bromocriptine and amantadine for the massive cravings
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PCP elimination can be aided by
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acidification of the urine - cranberry juice, vitamin C and/or
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Alcohol abuse is characterized by a pattern of use resulting in at least one of the following:
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1. Failure to fulfill obligations at work, school, or home
2. Continued use in dangerous situations. 3. Alcohol-related legal problems. 4. Social or interpersonal problems. |
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what are the sx of amphetamine w drawal
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dysphoria, excessive sleepiness, fatigue, and increased appetite, are also time-limited and do not need treatment unless the depressed mood is severe, anger, hallucinate
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Physical changes in cocaine intoxication may include:
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Dilated pupils Signs of autonomic instability such as elevated blood pressure, tachycardia, or bradycardia Chills or sweating Nausea/vomiting Psychomotor slowing or agitation Chest pain/arrhythmias Confusion, seizures, stupor, or coma Evidence of weight loss
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cocaine dependence ,Three of the following must be present in the same 12-month period:
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1.Tolerance 2. Withdrawal symptoms
3.Cocaine is used in larger amounts or for a longer period than intended 4.l tries unsuccessfully to cut down 5.spends much time attempting to obtain cocaine 6.Other activities in life are suspended or reduced 7. use cocaine despite an awareness of l problems caused by use of the drug |
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Cocaine intoxication can produce numerous behavioral and physical changes:
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hallucinations (both auditory and visual), paranoid delusions, and bizarre behavior, cerebral infarctions, transient ischemic attacks, seizures (including status epilepticus), myocardial infarctions, and cardiomyopathies.
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