Substance Abuse Flashcards

(29 cards)

1
Q

What is Intoxication?

A

Reversible effect of a Subtance affecting physiology and reasoning

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2
Q

What is Withdrawl?

A

Opposite effect of drug. Decline in tissue concentrations after prolonged heavy use

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3
Q

What is Tolerance?

A

Decreased effects of a substance with repeated use

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4
Q

What is Risky Use?

A

Health Consequence from use >14 drinks/wk for men

>7 drinks/wk for women

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5
Q

What is Addiction?

A

Physical Dependance on a substance

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6
Q

What is Substance Misuse?

A

Abuse in the content of Precription drugs

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7
Q

What are the diagnostic Criteria of a subtance use disorder?

A
Clinical Distress/Impairment
12 mon period
>2 items from Crit A
Mild => Severe
Specifiers
-Early remission
-Sustained remission
-Maint Therapy
-In a controlled Envt
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8
Q

What are the GI Complications of Alcohol use?

A
Gastritis, Esophagitis, Pancreatitis, Fatty liver/hepatitis
Stomach/Duodenal Ulcers
Malabsorption
Mallory Weiss Tears
Esophageal varices
Malignancy
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9
Q

What are the CSN Complications of Alcohol use?

A
Dec Abstract thinking
Impaired Learning
Wernicke's encephalopathy
Fetal Alcohol Synd
Withdrawl Seizures
Coma
Subs induced Neurocog Dis
Blackouts
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10
Q

What is the CIWA protocol for Assess and Tx of Alcohol Withdrawl?

A

N/V, Anxiety, Sweats, Tactile Dist
Add Scores, Total + Sx =>Tx
Monitor 72hrs w/ score

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11
Q

What are intoxication Sx of Alcohol?

A
30-50 Buzz
50 Euphoria
100 Ataxia/Slurred Speech
200 Drowsy/Confused
300 Stuperous
>400 Progressive coma/death
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12
Q

What are intoxication Sx of Caffeine?

A

Restless, Nervous, Excitement, Insomnia, Flushed face, Diuresis

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13
Q

What are intoxication Sx of Cannabis?

A
Conjunctival Injection
Inc appetitie
Dry Mouth
Tachycardia
Innapropriate Laughter
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14
Q

What are intoxication Sx of Hallucinagens? (PHENCYCLIDINE)

A
VIOLENT BEHAVIOR
belligerence
Impaired Judgement
Nystagmus 
Hypertension
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15
Q

What are intoxication Sx of Inhalents?

A

NYSTAGMUS, Dizziness, Incoordination, Slurred Speech, Unsteady Gait, Arrhythmia

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16
Q

What are intoxication Sx of Opioids?

A

Pupillary Const + Slurred speech, drowiness, impairment

Euphoria => Apathy, dysphoria, psychomotor agitation/ retardation

17
Q

What are intoxication Sx of Sed/Hyp/Anxiolytics?

A

Sexual/Agressive Beh, mood lability, imp judgement
Slurred Speech, Incoordination, unsteady gait
Looks like EtOH intox
Flumazenil

18
Q

What are intoxication Sx of Stimulants?

A

Euphoria w/ vigor
Hyperactive
Pupillary Dilation
Tachy/Bradycardia

19
Q

Where is Dopamine Made?

A

Ventral Tegmental Area

20
Q

What is the MOA of Cocaine?

A

A Dopamine Reuptake inhibitor

21
Q

What are the Traits of Wernicke Korsakoff syndrome?

A
Vitamin B1 Def (Thiamine)
Triad of: Confusion, Ataxia, Ocular Abn
Memory loss
Confabulation
Inability to form new memories
Hallucinations
22
Q

What are the Maint Thx for Alcohol Use disorder?

A

Naltrexone: Opioid antagonist
-Vivitriol is Extended form
Acaprosate: GABA and Glut
Disulfiriam: Accum of Acetaldehyde

23
Q

What are signs of Caffeine withdrawl?

A
Headache
Fatigue/Drowsy
Dysphoric
Flu-Like Sx
Difficulty Conc
24
Q

What are signs of Synthetic Canabinoid Intoxication?

A

Psychosis. Anxiety, Irritability

25
What is the Maint Thx for opioid use disorder?
Methadone: LA Opioid Agonist Buprenorphine: Synth Part Ag Naltrexone: Synth Ant
26
What are the results of long term use of Stimulants?
Chaotic Beh Social Isolation Sexual Dysfunction Aggressive Beh
27
What are the withdrawl symptoms of Tobacco?
Irritation, Frustration, Anger, Anxiety, Dec Conc, Inc App,
28
What are the Treatments of Tobacco abuse?
Beh Thx, Hypnosis, Nicotene Replacement, Buproprion, Varenicline
29
What are the Stages of Tx of a substance abuse disorder?
Detoxification Medically managed withdrawl Short/long term residential Counseling, AA