Substance Abuse

Question 1

EtOH Withdrawal

Answer 1

Autonomic hyperactivity and DTs

Treatment with benzodiazapines

Question 2

Opioids Intoxication and withdrawal

Answer 2

Respiratory and CNS depression
Pinpoint Pupils, seizures
MOST COMMON OD DEATH–Naloxone, naltrexone

Withdrawal: Sweating, dilated pupils, fever, RUNNY NOSE, yawning, nausea, diarrhea (flu-like)
Treat with mathadone, buprenorphine

Question 3

Barbituates

Answer 3

Respiratory depression with intoxication, treat symptoms

Withdrawal: delirium, CV collapse

Question 4

Benzodiazepines

Answer 4

Intoxication: relatively safe, respiratory depression and ataxia
Withdrawal: Rebound anxiety, depression, seizure

Question 5

Amphetamines

Answer 5

HT, tachy, anorxic, paranoid. Cardiac incidents and seizures. Treat with Benzos for agitation and seizures

Question 6

Cocaine

Answer 6

pupillary dilation, hallucinations, ANGINA, cardiac death

Treatment: alfa blockers, benzos NO BETA BLOCKERS

Question 7

Phencyclidine (PCP)

Answer 7

VIOLENT, impulsive, delirium
Nystagmus, tachy, HT
Treat w/ benzos and rapid acting antipsychotic

Question 8

Lysergic Acid Diethylamide

Answer 8

Perceptual distortion, psycosis, paranoia

Question 9

MDMA

Answer 9

Hyperactive hallucinagenic. Hyperthermia, hyponatremia, serotonin syndrome

Question 10

Antipsychotics

Answer 10

Haloperidole and the Azines