morphine or methadone
Phenobarbital
Babies born to mothers who
use opioids may need
treatment with what?
________ can be used
adjunctively to treat
withdrawal seizures.
Methadone
Which Neonatal withdrawal
syndromes may present
weeks after birth? Name the
drug.
Clonidine
_________ is a safe and
effective second-line
treatment of symptoms
refractory to opioid therapy
in newborns
naltrexone.
48-72
12
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.
1
, CARN-AP 2nd set
cannabis hyperemesis
Patients with _______
_________ syndrome often
present with abdominal pain
and nausea, which may be
refractory to standard
antiemetics
right
Vancomycin; nafcillin
Patients with injection drug
abuse are most likely to have
_____sided bacterial
endocarditis.
_______ should be used
empirically, which can be
switched to _______ if
MRSA infection is
confirmed.
5
Marijuana use can be 15
detected in the urine up to
___days after exposure for
infrequent users and up to
____ days for chronic or
heavy users.
nucleus accumbens
The _______ _______ is
involved in the sense of
reward from cocaine use.
loperamide
promethazine
Symptomatic treatment in ibuprofen
opioid withdrawal includes:
- ________ for diarrhea
- ______ for nausea and
vomiting
- ________for myalgia
2
, CARN-AP 2nd set
alcohol
arrhythmia.
Holiday heart syndrome is a
syndrome caused by
excessive ______ use.
Excessive alcohol use results
in gross and microscopic
cardiac changes leading to an
atrial _______
squamous metaplasia
Aerosolized glycerol and
propylene glycol, chemicals
found in vape pens have
been associated with focal
_______ _______ of the
upper airways
Brain reward system
Substance use disorder refers
to the excessive use of drugs
that tend to activate which of
the following portions of the
brain?
LIMBIC
REWARD
reward
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.
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
3
, CARN-AP 2nd set
Methamphetamine
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?
Interpersonal
Supportive
_________ therapy- patients Integrated
with depression. Seeking safety
________ therapy- employed
in SUD.
__________ therapy-
patients with BiP and SUD
________ ________- PTSD
& SUD
Cocaine blocks the reuptake dopamine, NE, and serotonin at the synapse.
of what 3 NT?
increase in NE
The vasoconstriction
experienced while on
cocaine is caused by what
NT?
4