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24 Cards in this Set
- Front
- Back
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What are signs of controlled substance misuse/abuse?
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1) Rapid dose escalation due to tolerance (wanting to achieve euphoria)
2) Development of neg consequences 3) Continued use despite neg consequences |
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What group of patients are prescribed more benzos than any other age group?
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Benzos
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Which barbiturate contributes to medication rebound headaches?
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butalbital
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WHat is the typical patient that will abuse sedative-hypnotics?
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middle aged woman, separated, low educational background, unemployed
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Dronabinol: what is it?
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purified THC
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Indications for dronabinol
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weight loss; nausea
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T/F Urine drug test cannot differentiate smoked vs oral THC
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F
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What is pseudoaddiction?
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Patient not responding to what practitioner believes is typical dose.
Undertreated pain results in aberrant medication-taking behavior. Patient is appropriately seeking more meds to tx pain. To avoid pseudoaddiction, believe the patient, investigate pain generator. |
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What is chemical coping?
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Differ from overt abuse to achieve euphoria.
It's medication misuse for beneficial effects other than prescribed purpose. Includes elevating mood, inducing sleep, reducing anxiety. The medication effect becomes the primary maladaptive coping skill for the patient. |
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How is chemical coping treated?
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ID the underlying disorder (depression or anxiety, usually).
Taper opioids and provide appropriate alternative. |
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What will happen once the pseudoaddict gets meds at appropriate dose
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They become a model patient
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WHat is drug diversion?
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Person uses prescribed drugs with street value as currency, selling them to get cash or trade for desired illicit drug.
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T/F A medication agreement contract is good in order to outline policy for controlled substance prescription and refills
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T.
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T/F Previous psych diagnosis is a risk factor for Rx drug abuse
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T
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What is the differential diagnosis for aberrant medication-taking behaviors (ABTBs)?
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1) Addiction
2) Pseudoaddiction 3) Chemical coping 4) Drug diversion |
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___% of health care professionals are impaired
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10
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T/F Alcohol or drug use usually begins before medical school in nearly all impaired physicians
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T
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T/F Work is the first area of an impaired physicians life to suffer.
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F. It's usually the last to go because it supports the habit.
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Physician impairment is
used most often to refer to ______ disorders |
substance use
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What drugs are physicians most likely to abuse?
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Prescription drugs, like opiates and benzos
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The risk of
substance abuse for (women,men) is significantly higher in both the overall population and among physicians |
men
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What are the Virginia reporting requirements?
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1) Health care institution must ID impaired physican to VA Dept of Health Professions within 30 days
2) Reporters are immune from civil liability 3) Impaired physician may voluntarily report to the Health Practitioners Monitoring program |
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What type of treatment produces best outcomes?
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2-4 weeks of intensive inpatient treatment.
This is because addiction problems are usually severe by the time doctor is id'd through problems in practice. |
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WHat are the abstinence rates post-treatment?
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70-90%.
Goals for safe return to practice (up to 85%!) |
