Behavioral science - Intoxication and withdrawal Flashcards Preview

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Flashcards in Behavioral science - Intoxication and withdrawal Deck (23):
1

DSM5 criteria for mild moderate or severe substance abuse disorder

Mild = 2-3 criteria
Moderate = 4-5 criteria
Severe = 6-7 criteria

2

DSM5 criteria for substance abuse disorder


1) Continuing to use despite negative personal consequences
2) Repeatedly unable to carry out major obligations at work, school, or home due to use of X
3) Recurrent use of X in physically hazardous situations
4) Continued use of X despite persistent or recurring social or interpersonal problems caused or made worse by use of X
5) (Tolerance) as defined by either a need for markedly increased amounts to achieve intoxication or desired effect or markedly diminished effect with continued use of the same amount
6) (Withdrawal) manifesting as either characteristic syndrome or the substance is used to avoid withdrawal
7) Using greater amounts or using over a longer time period than intended
8) Persistent desire or unsuccessful efforts to cut down or control use of X
9) Spending a lot of time obtaining, using, or recovering from using X
10) Stopping or reducing important social, occupational, or recreational activities due to use fo X
11) Consistent use of X despite acknowledgment of persistent or recurrent physical or psychological difficulties from using X
12) Craving or a strong desire to use X


3

UD-PC
UD-IDA
UD-PD
UD-SC
UDAPH
UDTC
T
WD
IU
DQ
RA
C

Use despite personal consequences
Use despite impaired daily activities
Use despite physical danger
Use despite social consequences
Use despite acknowledged personal harm
Use despite time consumed
Tolerance
Withdrawal
Increasing use
Desire to quit
Reduced activities
Cravings

4

Treatment for alcohol intoxication

Support, restraint, protect airways, ventilate

5

Treatment for alcohol withdrawal

replace with benzos until vital signs normalize

6

Treatment for Benzo/barbiturate withdrawal

Benzo taper until vital signs normalize

7

What is Flumazenil? What is a possible side effect?

GABA-A receptor antagonist

Seizure

8

T/F overdose of benzos or barbituates can be prevented with flumazenil

False only benzos

9

How does drug use promote more drug use?

increased dopamine activity from drugs leads to loss of cortical top down control and circuitry/receptor expression changes that enhance lymbic pathway function and decrease PFC function

10

Which brain regions are involved in inhibiting the desire to become intoxated

Amygdala
orbital prefrontal cortex

11

Decreased dopamine signaling in the orbitofrontal cortx with chronic drug use results in

impaired assignment of positive and negative emotions (dangerous behavior doesn't feel bad, healthy behavior doesn't feel good)

12

Decreased dopamine signaling in the ventral medical PFC with chronic drug use results in

impaired impulse control

13

Decreased dopamine signaling in the dorsolateral PFC with chronic drug use results in

impaired executive function (e.g. harm/benefit analysis)

14

Which brain region is the "final decision maker" that integrates input from cortex regarding emotion/impulse/analysis?

Nucleus accumbens

15

Treatment for stumulant intoxication / overdose

provide fluids/support, let the drug wash out of system - antipsychotics if hallucinations benzos if agitated

16

biggest risk from opiate overdose

respiratory supression

17

treatment for opiate overdose

naloxone

18

treatment of opiate withdrawal

full agonist replacement/taper (methodone) or partial agonist replacement/taper (bupenorphine)

19

What is phencyclidine?

PCP

20

What is a risk of restants use for phencylidine intoxication? Solution?

Rhabdomyolysis due to fighting restraints

Use sedatives instead of antipsychotics

21

Treatment for hallucinogens intoxication is

supportive care (restraint with PCP)

22

What is a risk of using antipsychotics for drug overdose?

Cause raise in body temp - already elevated core temp with many drugs

23

# 1 intoxicant accross the world

Schwartz says its inhalants like Nitrous, huffing gas, or glue...

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