Substance Use Disorder

Question 1

What are the 10 categories of substances

Answer 1

Caffeine
Alcohol
Nicotine
Cannabis
Sedatives
Opioids
Stimulants
Hallucinogens
Inhalants
Others

Question 2

What is abuse

Answer 2

The use of substance which falls outside of medical necessity or societal acceptance

Question 3

What is addiction

Answer 3

Chronic relapsing disease- tolerance and withdrawal symptoms

Question 4

What is tolerance

Answer 4

Increase amount used to achieve desired affect

Question 5

What is score for SUD
Mild
Moderate
Severe

Answer 5

2-3
4-5
6 or more

Question 6

What are some risk factors for SUD

Answer 6

Psychological
Social
Gender
Genetics

Question 7

What are the three CNS depressants

Answer 7

Alcohol
Barbiturates
Benzodiazepines

Question 8

What tool is used to look at alchohol withdrawal score

Answer 8

CIWA tool

Question 9

What are some s/s of alcohol withdrawal delirium tremens

Answer 9

Hyperactivity
Agitated behavior
Hallcuinations
Increased temp
Changing LOC
Possible death

Question 10

What is wenicke’s encephalopathy

Answer 10

A inflammatory degenerative condition caused by thiamine deficenivy from poor diet and alchohol induced suppression of thiamine absorption

Question 11

Can you reverse wenike’s encephalopathy

Answer 11

Yes with thiamine

Question 12

What are some s/s of koraskoff’s psychosis (4)

Answer 12

Short term memory loss
Long term memory gaps
Inability to learn
Confusion

Question 13

Is Korsakoff’s psychosis

Answer 13

NO

Question 14

What are some medication interventions for alcohol withdrawal (5)

Answer 14

Benzos
Gabapentin
Beta blockers
Thiamine
Folic acid/b12

Question 15

What are some s/s benzo toxicity

Answer 15

Severe changes in LOC

Question 16

What is the reversal agent for benzo toxicity

Answer 16

Flumazenil

Question 17

What is the triad symptoms for opiates toxicity

Answer 17

Pinpoint pupils
Coma
Respiratory depression

Question 18

What is treatment for Opiate toxicity (3)

Answer 18

Narcan/ nalmefene
Airway management
Supplemental Oxygen

Question 19

What meds can help with opioid withdrawal

Answer 19

Methadone
CLonidine

Question 20

What are some CNS stimulants

Answer 20

Cocaine
Methamphetamine s

Question 21

What are s/s of cocaine withdrawals (6)

Answer 21

Fatigue/lethary/ sleepiness
Anxiety/ agation
Disorientation
Craving
Depression
Apathy

Question 22

What are some s/s of methamphetamine intoxication
Short term (2)
Long term (3)

Answer 22

Short term
Hyperthermia
Increased respirations
Long Term
Paranoia with delusion
Hallucinations
Potential for violence

Question 23

What are the nursing interventions for CNS stimulant overdoses

Answer 23

ABCS
O2
Benzo
Cooling measure
IV antihypertensives

Question 24

What are the “club drugs”

Answer 24

Ecstasy
GHB
Rohypnol

Question 25

What are nursing interventions for ecstasy overdose

Answer 25

ABCs
Cooling measures
Sedation with benzos
Activated characoal

Question 26

what are the dissociative drugs

Answer 26

PCP
Ketamine
Salvia

Question 27

What is the antidote for rohypnol

Answer 27

FLumazenil/activated charcoal

Question 28

What are the hallucinogen

Answer 28

LSD
Mescaline
Psilocybin

Question 29

What are the nursing interventions for hallucinogens

Answer 29

Low stim
Safety
Speech
Meds- haloperidol/benzo

Question 30

What are the cathones

Answer 30

Bath salts
K2
Spice

Question 31

What is the treatment for inhalants

Answer 31

Medical support
B12 and folate

Question 32

What is the priority question with alcohol withdrawal

Answer 32

“When was your last drink”

Question 33

When preventing relapses what do you need to look for

Answer 33

Emotional cue
Mental response
Physical cues