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12 Cards in this Set
- Front
- Back
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RAFFT
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* Screening for Drug/ETOH abuse w/teenagers
Do you drink/drug to RELAX, feel better about yourself or fit in? • Do you ever drink/drug while you are ALONE? • Do any of your close FRIENDS drug/drink? • Does a close FAMILY member have a problem w/ETOH/drugs? • Have you ever gotten into TROUBLE from drinking/drugging? ***Make sure they know it’s confidential, ask parent to leave the room |
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TWEAK
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Screening for drinking/ETOH use in pregnant women
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T-ACE
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• TOLERANCE: “How many drinks does it take to make you feel high” >2
• Have ppl ANNOYED you by criticizing your drinking? • Have ever felt you should CUT down on your drinking? • Have you ever had a drink in the morning (EYE-OPENER) to steady your nerves or relieve a hangover? |
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Physican and lab findings in Alcoholism
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• ETOH on breath ≥.075g/dL
• Slurred speech, ataxia • Increased MCV (IDA, Alcohol) • Elevated liver enzymes (esp. GGT – specific to alcohol damage) (ALT, AST – vary based on viruses/hepatits) • Palmar erythema (chronic alcoholism = red palms), • hepatomegaly • Urine testing for narcotics, BZDs and illicit substances |
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Management of Withdrawal
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• ETOH and opiate withdrawal are most common
• Outpatient management is possible • EtOH: BZDs • Opiates: clonidine, BZDs, anti-emetics and close follow-up q2-3days |
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ETOH Withdrawal Tx
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disulfiram/Antabuse – causes acetaldehyde accumulation after alcohol ingestion
**rxn also occurs w/Metronidazole naltrexone & acamprosate |
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Opioid Withdrawal Tx
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naltrexone/Vivitrol, opioid receptor blocker
methadone (on-site administration) buprenorphine (naloxone added to avoid abuse) |
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The 12 Steps (6 item summary)
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1. admitting that one cannot control one's addiction or compulsion;
2. recognizing a greater power that can give strength; 3. examining past errors with the help of a sponsor (experienced member); 4. making amends for these errors; 5. learning to live a new life with a new code of behavior; 6. helping others that suffer from the same addictions or compulsions. |
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Meth Cessation Tx
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BZDs to handle withdrawal tx
12 step programs and cold turkey |
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The Matrix Model
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*Meth user cessation
1. Cease drug use 2. Retain in treatment 3. Learn about issues critical to addiction and relapse 4. Receive direction and support from a trained therapist 5. Receive education for family members affected by the addiction 6. Become familiar with the self-help programs 7. Receive monitoring by urine testing |
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Pseudoaddiction
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• You think they are pressing for drugs, but they’re pain level is actually not well-managed
• “seeking of additional meds, appropriately or inappropriately, d/t the undertreatment of pain.” |
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Pseudoaddiction
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• You think they are pressing for drugs, but they’re pain level is actually not well-managed
• “seeking of additional meds, appropriately or inappropriately, d/t the undertreatment of pain.” |
