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59 Cards in this Set
- Front
- Back
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S/S of hereditary spherocytosis
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positive osmotic fragility
loss of central palor anemia jaundice pigment gallstones |
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what are the possible preventions from alcohol relapse
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AA
disulfiram topiramate naltrexone acamprosate |
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drug intox/withdrawal:
postop constipation or respiratory depression |
opioid intox
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drug intox/withdrawal:
severe depression, headache, fatigue, insomnia, hunger |
cocaine and amphetamines withdrawal
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drug intox/withdrawal:
pinpoint pupils, N/V, seizures |
opiates intox
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drug intox/withdrawal:
belligerence, impulsiveness, nystagmus, homicidal ideation |
PCP intox
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drug intox/withdrawal:
headache, anxiety/depression, weight gain |
cocaine and amphetamines withdrawal
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drug intox/withdrawal:
anxiety/depression, delusions, hallucinations, flashbacks |
LSD intox
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drug intox/withdrawal:
euphoria, social withdraw, impaired judgement, hallucinations |
marijuana
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drug intox/withdrawal:
rebound anxiety, tremors, seizures, life threatening |
alcohol, benzo, barb withdrawal
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drug intox/withdrawal:
anxiety, piloerection, yawning, fever, rhinorrhea, nausea |
opioid withdrawal
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opioid agonist MC used in pain control prior to using stronger ones
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tramadol
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Rx for intoxication w/:
alcohol |
fluids and time
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Rx for intoxication w/:
benzo |
flumazenil
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Rx for intoxication w/:
PCP |
benzo
haloperidol |
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Rx for intoxication w/:
opioids |
naloxone
naltrexone |
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delirium/dementia:
decreased attention and arousal |
delirium
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delirium/dementia:
hallucinations |
delirium
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delirium/dementia:
disturbance in sleep wake cycle |
delirium
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delirium/dementia:
abnormal EEG |
delirium
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delirium/dementia:
reversible |
delirium
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px with delirium should be checked for
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anticholinergic drugs
UTIs |
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delirium/dementia:
memory deficit |
dementia
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delirium/dementia:
behavior and personality changes |
dementia
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delirium/dementia:
alert |
dementia
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delirium/dementia:
normal EEG |
dementia
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delirium/dementia:
irreversible |
dementia
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what is pseudodementia
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depression
patient is aware of forgetting things |
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a/w history of sexual abuse
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dissociative identity disorder
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multiple personalities
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dissociative identity disorder
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estrangement from ones own body
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deprsonalization disorder
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what is precontemplation
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not acknowledging that there is a problem
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what is contemplation
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acknowledging problem but doesnt want to make a change
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what is preparation/determination
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getting ready for change
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what is action/willpower
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changing
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what is maintenance
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maintaining changed behavior
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what are the stages of overcoming substance addiction
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precontemplation
contemplation preparation/determination action/willpower maintenance |
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a/w pinpoint pupils
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opioids
cholinergics |
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a/w dilated pupils
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amphetamines
cocaine LSD |
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Rx for cocaine intoxication
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benzo
haloperidol |
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Rx for nicotine withdrawal
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bupropion
varenicline |
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Rx for delirium tremens
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benzo
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what renal pathology can results from opioid use
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focal segmental glomerulosclerosis
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Rx to aid in opioid withdrawal
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methadone
-long acting |
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a/w verticak nystagmus
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PCP
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a/w belligerence
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PCP
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can lead to schizophrenia
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marijuana
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next step if benzos dont work in alcohol withdrawal
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propanolol
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what electrolyte imbalance do alcoholics have
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hypo-Mg
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a/w periventricular hemorrhage/necrosis of mamillary bodies
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wernicke korsakoff
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what is CAGE
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Cut back
Annoying Guilt Eye opener |
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triad of wernicke korsakoff
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confusion
opthalmoplegia ataxia |
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laceration at the gastroesophageal junction
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mallory weiss syndrome
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MOA of opioids
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increase efflux of K
inhibiting the release of ACh NE 5HT glutamate substance P |
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opioids develop tolerance to everything except
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miosis
constipation |
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opioid used to Rx diarrhea
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diphenoxylate
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opioid used for cough suppression
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dextromethorphan
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partial opioid agonist, used b/c less respiratory depression
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butorphanol
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5HT and NE reuptake inhibitor that is also a weak opioid agonist
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tramadol
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