Babies born to mothers who use opioids may need treatment with what?
________ can be used adjunctively to treat withdrawal seizures. - (answer)morphine or methadone
Phenobarbital
Which Neonatal withdrawal syndromes may present weeks after birth? Name the drug. -
(answer)Methadone
_________ is a safe and effective second-line treatment of symptoms refractory to opioid therapy in
newborns - (answer)Clonidine
The patient must first be detoxified from opioid dependence before starting _______
Long acting opioids, such as methadone, require at least how many hours since last use before initiating
buprenorphine?
Short acting opioids (for example, heroin) require approximately ____ hours since last use for sufficient
withdrawal to occur in order to safely initiate treatment. - (answer)naltrexone.
48-72
12
Patients with _______ _________ syndrome often present with abdominal pain and nausea, which may
be refractory to standard antiemetics - (answer)cannabis hyperemesis
Patients with injection drug abuse are most likely to have _____sided bacterial endocarditis.
,CARN-AP 2nd SET
_______ should be used empirically, which can be switched to _______ if MRSA infection is confirmed. -
(answer)right
Vancomycin; nafcillin
Marijuana use can be detected in the urine up to ___days after exposure for infrequent users and up to
____ days for chronic or heavy users. - (answer)5
15
The _______ _______ is involved in the sense of reward from cocaine use. - (answer)nucleus accumbens
Symptomatic treatment in opioid withdrawal includes:
- ________ for diarrhea
- ______ for nausea and vomiting
- ________for myalgia - (answer)loperamide
promethazine
ibuprofen
Holiday heart syndrome is a syndrome caused by excessive ______ use. Excessive alcohol use results in
gross and microscopic cardiac changes leading to an atrial _______ - (answer)alcohol
arrhythmia.
Aerosolized glycerol and propylene glycol, chemicals found in vape pens have been associated with focal
_______ _______ of the upper airways - (answer)squamous metaplasia
Substance use disorder refers to the excessive use of drugs that tend to activate which of the following
portions of the brain? - (answer)Brain reward system
In the center of the brain behind the temporal lobe sits the ______ system, which controls our
emotions, instincts, and memories, and includes the brain's ______ system.
, CARN-AP 2nd SET
The main job of the________ system is to help us avoid harmful/painful experiences and to makes us
feel good when we engage in behaviors necessary for our survival - (answer)LIMBIC
REWARD
reward
A 22-year-old woman is brought into the emergency department by EMS with a blood pressure of
180/102 mmHg and heart rate of 110/min. She is agitated and appears to have paranoid delusions of
people chasing her. Her behavior is hypersexual, and her speech is incoherent. Psychomotor agitation is
present. Which of the following substances is most likely to cause the patient's presentation? -
(answer)Methamphetamine
_________ therapy- patients with depression.
________ therapy- employed in SUD.
__________ therapy- patients with BiP and SUD
________ ________- PTSD & SUD - (answer)Interpersonal
Supportive
Integrated
Seeking safety
Cocaine blocks the reuptake of what 3 NT? - (answer)dopamine, NE, and serotonin at the synapse.
The vasoconstriction experienced while on cocaine is caused by what NT? - (answer)increase in NE
PCP
(Name 3) reuptake is blocked
What 3 receptor stimulation NTs are increased: