18 Substance Use + Addictive Disorders Flashcards

1
Q

Qs to ask

A
  • type of substance/addictive behavior
  • pattern/frequency
  • amt used
  • age of onset
  • chng in work/school performnc
  • periods of abstinence
  • prev withdrwl manifestn
  • date of last use
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2
Q

age range that is at highest risk

A

18-25

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3
Q

older adults w substance abuse are more prone to ______

A

falls, injuries, memory loss, somatic reports like headaches, + change in sleep patterns;

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4
Q

opioid examples

A

heroin, morphine, hydromorphone

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5
Q

opioid action + intended effects

A

attacg to CNS receptor> CNS depression + decr in pain

-rush of euphoria + RELIEF FR PAIN

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6
Q

opioid intoxication manifestation

A
  • slurred speech
  • impaird memory
  • pupil change
  • decr resp
  • decr LOC
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7
Q

opioid withdrawal manifestations

A

abstinence syndrome
EARLY: sweat, rhinorrhea
MOD: piloerection, tremor, irritability
SEVR: weak, diarrhea, fevr, insomnia, pupil dilate, N/V, pain, spasm

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8
Q

opioid antidote

A

naloxone (IV)

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9
Q

types of CNS depressants

A
  • ETOH
  • Sedatives/hypnotics/anxiolytics
  • Cannabis
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10
Q

types of CNS stimulants

A
  • cocaine
  • amphetamines
  • inhalants
  • hallucinogen
  • caffeine
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11
Q

alcohol legal limit

A

BAC 0.08%

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12
Q

deathly levels of alcohol

A

greater than 0.4%

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13
Q

alcohol intended effects

A
  • relax
  • decr social anxiety
  • stress reduction
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14
Q

alcohol effects of excess

A
  • slurred
  • nystagmus
  • memory imparmnt
  • alt judgment
  • decr motor skills
  • decr LOC
  • resp arrest
  • periph collapse
  • death
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15
Q

alcohol effects of chronic use

A
  • cardiovasc damage
  • liver damage
  • erosive gastritis
  • GI bleed
  • acute pancreatitis
  • sex dysfunction
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16
Q

alcohol withdrawal symptoms

A
  • ab cramp
  • vomiting
  • trmorts
  • restless
  • insomnia
  • incr HR, BP, resp rate, temp
  • tonic clonic seizure
17
Q

alcohol withdrawal onset

A

4-12 hours: early

24-72 hrs: delirium tremens

18
Q

delirium tremens manifestations

A
  • severe disorientation
  • psych manifestn (hallucntn)
  • severe HTN
  • cardiac dysrhytmias
  • delirium
19
Q

sedative/hypnotic/anxiolytic

drug type/names

A

benzo lik eidazepam
barb like pentobarbital
club druhg like flunitrazepam (date rape)

20
Q

sedative/hypnotic/anxiolytic intended effects

A
  • decr anxiety

- seadtion

21
Q

sedative/hypnotic/anxiolytic effects of intoxication

A
  • incr drowsy
  • sedation
  • agitatn
  • slurr
  • uncorrdntd motor
  • nystagmys
  • disorient
  • N/V
  • resp depress
  • decr LOC
22
Q

benzo antidote

A

flumazenil

23
Q

antidote for barbiturate

A

none

24
Q

sedative/hypnotic/anxiolytic withdrawal manifestatn

A
  • anxiety
  • insomnia
  • diaphoresis
  • HTN
  • possible psych rxn
  • psychomotor agitation
  • possible seizure
25
Q

cocaine intended effects

A

rush of euphoria + pleasure

26
Q

cocaine mild toxicity manifestations

A
  • dizzy
  • irritable
  • tremor
  • blurred vision
27
Q

cocaine severe toxicity manifestations

A
  • hallucinatn
  • irritable
  • tremor
  • blurred vision
  • fever
  • tachycardia
  • HTN
  • chest pain
  • cardiovasc collapse/death
28
Q

cocaine withdrawal

A
  • depress
  • fatigue
  • crave
  • excess sleep/insomnia
  • dramative unpleasant dreams
  • psychomotor retardation
29
Q

tobacco withdrawal manifestations

A
  • abstinence syndrome
  • irritable
  • craving
  • nervous
  • restless
  • anxiety
  • insomnia
  • incr appetite
  • anger
  • difficulty concentrating
30
Q

alcohol withdrawal meds

A
  • diazepam
  • carbamazepine
  • clonidine
  • chlordiazepoxide
  • phenobarbital
  • naltrexone
31
Q

alcohol abstinence meds

A
  • disulfiram
  • naltrexone
  • acamprosate
32
Q

opioid withdrawal med

A
  • methadone sub
  • clonidine
  • buprenorphine
  • naltrexone
  • levo-alpha-acetylmethadol
33
Q

nicotine withdrawal med

A
  • buproprion
  • nicotine replacement
  • varenicline
34
Q

nicotine abstinence med

A
  • varenicline

- rimonabant