3 FDA Approved medications for alcohol use disorder
What is Naltrexone, Acamprosate, Disulfram
0.4mg IV
Repeat dose q2min
What is naloxone?
Channel the BZD's primary impact
What is GABA channel
Name 3 acute/chronic complications of stimulant UD
Acute: Vasospasm, HTN've emergency, ACF, arrythmia, ischemic bowel
Chronic: LVH, cardiomyopathy, cough, hemoptysis, endocarditis.
Name the components of the screening tool used for MDD
SIGECAPS
What is: Sleep
Interest
Guilt
Energy
Concentration
Appetite
Psychomotor abnormalities
Suicidal ideation
Name of the prognostic tool to identify who will benefit from steroid therapy in Alcohol related hepatitis
BONUS: name of prognostic tool used to assess steroid response
What is MDF?
What is the MELD?
BONUS: What is the Lile
Partial mu-opioid agonist
What is buprenorphine?
Name 4 of s/sx that BZD withdrawal would present with
What is anxiety, irritability, tremor, HA, Nausea, Autonomic instability, sz, delerium?
$ given for negative UDS's
What is contingency management
First line tx for GAD (general answer)
SSRI's + CBT
Name of the screening tool that screens for unhealthy alcohol USE
Name of the screening tool to help detect DEPENDENCE on alcohol
What is AUDIT-C?
What is CAGE?
Dose of the methadone where we should stop to repeat an EKG
What is 100mg Methadone
Phenobarbital dosing levels
X mg/kg = usual dose
Xmg/kg = likely prev hx sz/complicated wd
Xmg/kg = Pause, ICU? Broad ddx
What is 10, 15, 20mg/kg
2 primary medications studied for stimulant use disorders
X + Y
X
What is Mirtazapine
What is the name of the tool used in primary care settings to screen for MDD
What is the PHq9 or PHq2
1 standard drink is equal to:
Xg ethanol
Xoz Wine
Xoz beer
Xox Spirit
What is:
14g EtOH
5oz Wine
12oz beer
1.5oz spirits
rapid, intense withdrawal due to displacement of full agonist by partial agonist
What is precipitated withdrawal
Long acting benzo we generally convert other benzodiazepine to when completing an outpatient taper
What is diazepam
Antipsychotic that can be used to help in acute methamphetamine intoxication to reduce agitation/irritability
What is olanzapine 5mg BID
Components of the mnemonic for mania
DIGFAST
Distractability
Impulsivity
Flight of Ideas
Activity increase
Sleep deficit
Talkativeness
What lab two lab values on a CBC can be indicative of heavy drinking/chronic malnourishment?
What is an MCV? (>100)
What is thrombocytopenia? (<100)
Patient has rec'd a dose of Bup in the ED or by EMS, where can they be referred to?
1/5th of liquor is equal to Xmg of phenobarbital which is equal to Xmg of alprazolam
What is 64.8mg of phenobarbital
What is 0.25mg of Alprazolam
Alpha2 agonist that is adulterating the methamphetamine drug supple
What is Xyzlaine
What are our first line SSRI's for generalized anxiety? Name two
What are lexapro (escitalopram) and zoloft (sertraline)