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21 Cards in this Set
- Front
- Back
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What are the 5 Cs of addiction?
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Chronicity, Control impaired, Compulsive use, Continued use despite harm, Craving
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5 stages of change
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Precontemplation
Contemplation Preparation Action Maintenance |
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Common depressants of abuse?
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alcohol, BZD, narcotics, barbiturates, solvents, anesthetics
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Common stimulants of abuse?
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methamphetamines, cocaine, amphetamines, strychnine, Freon, nicotine, caffeine
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Common psychedelics of abuse?
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marijuana, LSD, mescaline, PCP
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Which BZD has the most abuse potential?
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diazepam
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Which BZD has the least abuse potential?
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clonazepam
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Tx for BZD withdrawal?
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slow taper with another BZD
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Effects of opioid intoxication?
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euphoria, dysphoria, apathy, sedation, trouble paying attention, slurred speech, miosis, motor slowness, resp. depression
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Effects of opioid withdrawal?
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tears, rhinnorhea, mydriasis, piloerection, flu-like symptoms, insomnia
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Use for naloxone?
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reverse acute coma and respiratory depression from OD of opiate
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Dosing for naloxone?
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0.4-0.8mg, repeat until opiate no longer has effect
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Dose of methadone?
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start 20mg/day, range 60-100mg/day
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Effects of buprenorphine?
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partial agonist at opiate receptors, treats pain, less likely to cause respiratory depression
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What is suboxone?
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buprenorphine with naloxone
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Effects of cocaine?
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CNS stimulation, energy, euphoria, paranoia, arrhythmias, delirium
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MOA of cocaine?
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blocks reuptake of NE and DA
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Effects of chronic cocaine use?
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decreased DA stores and CNS depression
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Sx of cocaine withdrawal?
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depression, fatigue, sleeping, increased appetite, chills, tremors, muscle aches, spasms
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Tx for cocaine withdrawal?
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dopamine agonists, lorazepam, beta-blocker, antipyschotics, bromocriptine
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Contraindications for Zyban?
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seizures, bulimia
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