Substance Use Disorder: Drugs Flashcards

1
Q

What is the definition of acute intoxication?

A

Transient disturbance of behavior or perception from substance

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2
Q

What is the definition of drug misuse?

A

Maladaptive and recurent use of substance leading to impairment or distress

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3
Q

What is the definition of drug dependence?

A

Drug consumption high enough to cause substantial physical, psychological and social harm.

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4
Q

Explain the aetiology/risk factors of drug dependency.

A

Multifactorial

Neurobiological mechanism of conditioned response.

Psych history increases risk.

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5
Q

Summarise the epidemiology of drug dependency.

A

Hard to estimate epidemiology due to illegality.

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6
Q

What are features of cannabis use?

A

Class B drug

Relaxation/lethargy

Long term effect on concentration and long term memory

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7
Q

What are features of cocaine use?

A

Class A drug

Buzz, alert, confidence (30 min)

Long term heart problems, convulsion, nosebleeds

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8
Q

What are features of crack use?

A

Class A drug

High, short lasting 10 mins

Heart, addiction, restlessness

Long term confusion and psychosis

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9
Q

What are features of ecstacy use?

A

Class A drug

Alertness, intense energy, 3-6h

Long term nausea, hyperhydrosis, liver/kidney damage

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10
Q

What are features of GHB use?

A

Legal drug

Sedative euphoric

Long term sickness, stiffness, fits, collapse, death with alcohol

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11
Q

What are features of gas/glue/solvent use?

A

Dizzy, hallucinations, 15-45minutes, drowsiness

Long term use can cause instant death, nausea, blackout.

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12
Q

What are features of heroin use?

A

Class A drug

Relax/drowsy/numb

Long term very addictive, tolerance, HIV risk.

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13
Q

What are features of ketamine use?

A

Prescription drug

Hallucinations

Long term numb/breathing issues, ket bladder

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14
Q

What are features of LSD use?

A

Class A drug

Hallucinogenic > Bad trip, intense paranoia

Precipitation of schizophrenia

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15
Q

What are features of mushrooms use?

A

Class A drug

Like LSD

Long term > Stomach pain, nausea, diahrroea

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16
Q

What are features of PCP use?

A

Class A drug

Euphoria

Long term impaired consciousness and psychosis

17
Q

What are features of poppers use?

A

Head rush, headache

Long term > dangerous for anaemia, glaucoma, heart problems.

Fatal if swallowed – must only be inhaled from liquid bottle

18
Q

What are features of speed use?

A

Amphetamines, stimulants

Comedown precipitates depression

19
Q

What are investigations for drug misuse?

A

Drug screen

LFTs

HIV screen

Infection screen

Urine drug analysis

20
Q

What is the management for drug dependence?

A

Psychological and social intervention

Pharmacological:

  • Detoxify: Help with lofeximide, loperamide, buscopan, BZD, metclopramide.
  • Motivational interviewing
  • Substitution therapy: Methadone, buprenophrine
  • Treat psychiatric comorbidity