PCP-related disorders Answers are from DSM-IV-TR and from the First and Tasman text unless otherwise noted. As of 12Aug06.

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Presentation transcript:

PCP-related disorders Answers are from DSM-IV-TR and from the First and Tasman text unless otherwise noted. As of 12Aug06.

Types Q. Besides phencyclidine, name at least one other substance of this class.

Types Ans. -- ketamine -- cyclohexamine -- dizocipline ONLY ketamine has much chance of being featured in an exam question.

Other names Q. Some street names for PCP?

Other names Ans. -- Angel dust -- Hog -- Tranq -- PeaCe [many others]

Monoamine Q. PCP directly impacts which monoamine system?

Monoamine Ans. Glutamine. Within the glutamine system, there is even a phencyclidine receptor site.

Intoxication Q. DSM expects you to find at least two of eight signs. What are the 8 signs?

Intoxication Ans. 1] nystagmus 2] hypertension or tachycardia 3] diminished responsiveness to pain 4] ataxia 5] dysarthria 6] muscle rigidity 7] seizures or coma 8] hyperacusis

Urine + Q. After heavy use, how long will the urine be positive?

Urine + Ans. “Several weeks” because fat soluble.

Developed Q. PCP was developed, and katamine is still used, for what medical/veterinarian use?

developed Ans. Anesthetic agent.

PCP & schizophrenia Q. PCP’s impact on people with a hx of schizophrenia?

PCP & schizophrenia Ans. Tends to bring on an acute schizophrenic episode.

Talking down Q. You are called to the ER to see a pt who apparently has recently ingested PCP. How about talking him down?

Talking down Ans. Not recommended as the increased stimuli involved in talking down is likely to agitate, which, in turn, may lead to violence.

medications Q. What meds are recommended?

medications Ans. None are very effective, but benzodiazepines are recommended for agitation. [While not indorsed by First and Tasman, acidifying the urine has been common and that may be your best choice on an exam.]