CMAN 272 EXAM 3 QUESTIONS & ANSWERS
What does it mean for a patient to have a dual diagnoses?
Both a psychiatric and addiction disorder
Intoxication
affects when using a drug or alcohol
Winthdrawl
When someone stops using a drug or alcohol
What is polysubstance abuse?
using or addicted to more than one substance
What is a Process addiction?
Anything that raises a persons dopapmine and makes them seek out reward. All have
consequences.
exp. Gambling, sex, shopping
Sequelae Dependancy
All the bad things that happen because of the dependency
exp. Physical, social, life consequences
CAGE Assesment
Asses possibility of alcohol dependence
C in CAGE
Have you ever felt you ought to CUT DOWN on your drinking?
A in CAGE
Have people ever ANNOYED you by mentioning your drinking?
G in CAGE
Have you ever felt GUILTY about your drinking?
E in CAGE
EYE OPENER drink to stead your nerves or cure a hangover
If a patient answers yes to one of these what do we do?
Further assesment
, W/D for ALCOHOL timeline
W/D 4-8 hrs after last drink
BAC of someone who is legally intoxicated ALCOHOL
0.08
BAC for someone needing medical attention
0.2
BAC for death
0.4
S/S of alcohol W/D
The Shakes
Insomnia
N/V
ANS Hyperactivity: Sweating, Increased HR and BP
Emergency S/S alcohol W/D
Tongue Tremor
Early sign of DT
What is delirum tremons (DT)
caused by alcohol and benzos withdrawl
Only 2 w/d that can kill someone
What medications can be used for opioid w/d and management
Suboxone and Methadone
What is suboxone?
A partial opioid agonists. 4 parts bupenophrine and 1 part nalaxone
Why is there nalaxone in suboxone?
Prevent OD and that burst of euphoria that comes with the opioid effect from the
synthetic opioid (bupenophrine)
What is methadone?
Full opioid agonist with a long half life to help w/d
What does the methadone prescription do for the patient? Can patients still go to work
and continue ADL's if on methadone?
What does it mean for a patient to have a dual diagnoses?
Both a psychiatric and addiction disorder
Intoxication
affects when using a drug or alcohol
Winthdrawl
When someone stops using a drug or alcohol
What is polysubstance abuse?
using or addicted to more than one substance
What is a Process addiction?
Anything that raises a persons dopapmine and makes them seek out reward. All have
consequences.
exp. Gambling, sex, shopping
Sequelae Dependancy
All the bad things that happen because of the dependency
exp. Physical, social, life consequences
CAGE Assesment
Asses possibility of alcohol dependence
C in CAGE
Have you ever felt you ought to CUT DOWN on your drinking?
A in CAGE
Have people ever ANNOYED you by mentioning your drinking?
G in CAGE
Have you ever felt GUILTY about your drinking?
E in CAGE
EYE OPENER drink to stead your nerves or cure a hangover
If a patient answers yes to one of these what do we do?
Further assesment
, W/D for ALCOHOL timeline
W/D 4-8 hrs after last drink
BAC of someone who is legally intoxicated ALCOHOL
0.08
BAC for someone needing medical attention
0.2
BAC for death
0.4
S/S of alcohol W/D
The Shakes
Insomnia
N/V
ANS Hyperactivity: Sweating, Increased HR and BP
Emergency S/S alcohol W/D
Tongue Tremor
Early sign of DT
What is delirum tremons (DT)
caused by alcohol and benzos withdrawl
Only 2 w/d that can kill someone
What medications can be used for opioid w/d and management
Suboxone and Methadone
What is suboxone?
A partial opioid agonists. 4 parts bupenophrine and 1 part nalaxone
Why is there nalaxone in suboxone?
Prevent OD and that burst of euphoria that comes with the opioid effect from the
synthetic opioid (bupenophrine)
What is methadone?
Full opioid agonist with a long half life to help w/d
What does the methadone prescription do for the patient? Can patients still go to work
and continue ADL's if on methadone?
