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26 Cards in this Set
- Front
- Back
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what is the top substance of abuse?
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etoh
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what is the timing of onset of etoh withdrawal symptoms?
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from the first few hours after stopping, can last 3-5 days
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what are common s/s of etoh withdrawal?
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tremor
tachycardia diaphoresis anxiety n/v auditory/visual hallucinations |
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what is a rare complication of etoh withdrawal, that can result in death?
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DT's
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what is the DOC in the tx of etoh withdrawal?
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ativan
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what are 2 other meds you can give etoh withdrawal pt's?
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librium
haldol-with severe sx's |
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what are common s/s of etoh withdrawal?
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nervousness
n/v diaphoresis anxiety |
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what other things does a pt need who is having etoh withdrawal?
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mvi
thiamin folic acid |
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if a pt. has fried their liver, and their pt/inr is outta whack< what can you give them to promote clotting?
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vitamin K
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if you have to give IVF, and you choose D5 and don't give thiamine, what can happen?
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wernicke's encephalopathy
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is etoh like adh or anti-adh?
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has diuretic effects, check mg and K levels, give as necessary
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if a pt is interested in long term tx of etohism what are 4 options?
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antabuse
revia catapress campral |
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what is the MOA of antabuse?
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-inhibits aldehyde dehydrogenase
-with etoh inc. serum levels of acetaldehyde |
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if a pt takes antabuse and drinks etoh what happens?
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massive pukes
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what is the MOA of catapress, revia, and campral?
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decreases cravings
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if a pt. with etoh withdrawal has a seizure, what anti-epileptic is warranted?
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none unless it is status epiepitcus
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what is the major problem with campral?
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compliance-as this drug requires several doses a day and is only minimally better than placebo.
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name the 4 drugs again used for etoh withdrawal.
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antabuse
catapress campral revia |
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what neurologic disease is demylination of the insulation around the neurons, so that nerve fcn doesn't work?
-MS -MD -alzheimer's |
MS
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what 2 common non-interferon drugs are used in the tx of MS?
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corticosteroids and ACTH
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Avonex, Betaseron, and Rebif are all examples of what type of drug used in the tx of MS?
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interferon's
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t/f
it is good to use 2 interferon's together |
false; use only one
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what are interferon's?
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antiviral and immunomodulators that slow down the myelin eating effects of MS
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what is the most convienent form of interferon to give in regards to dosing?
-avonex -betaseron -rebif |
Avonex-give 1x a week IM
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what is the major s/e of all three interferon's?
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flu-like sx's
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which of the interferon's do you give sq QOD, is the least used d/t skin necrosis at the injection site?
-avonex -rebif -betaseron |
betaseron
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