Approach to Substance Use DO

Question 1

What is the difference between substance abuse and substance dependence

Answer 1

Abuse = The problematic pattern on use leading to clinically significant impairment or distress.
Dependence = Need for increased amounts to achieve desired effects. Diminished effect with continued use and the same amount

Question 2

Symptoms of intoxication: Alcohol intoxication

Answer 2

Slurred speech, loss of coordination, unsteady gait, nystagmus, impaired attention/memory. Stupor or coma

Question 3

Symptoms of intoxication: Amphetamines & cocaine intoxication

Answer 3

Increased energy and alertness, anxiety/irritability, insomnia/exhaustion, hyperthermia, loss of appetite and weight, visual/auditory hallucinations, mydriasis, elevated BP and pulse, seizures

Question 4

Symptoms of intoxication: Benzos & barbs intoxication

Answer 4

Euphoria, Incr seizure threshold, sedation/coma, Resp. depression, depressed reflexes, hypotension, hypoxemia, hypothermia

Question 5

Symptoms of intoxication: PCP & LSD intoxication

Answer 5

Mydriasis, Incr pulse and BP, paranoia and anxiety, hallucinations

PCP - additional violent behavior, hyperactivity, nystagmus, muscle rigidity, seizures

Question 6

Symptoms of intoxication: Morphine, heroin, codeine, methadone intoxication

Answer 6

Analgesia c/o loss of consciousness, apathy/lethargy, euphoria, itching, miosis, constipation, flushed warm skin, Resp depression, hyptension and depressed reflexes

Question 7

Withdrawal symptoms in alcohol addiction

Answer 7

Delusions, tremulousness, hallucinations, seizures (Delirium tremens)

Question 8

Treatment for alcohol withdrawal

Answer 8

Wait it out.

IV thiamine and glucose for chronic abusers.

Question 9

Diagnostic treatment options for alcoholism

Answer 9

Rehab
Disulfram for antiabuse
Naltrexone for cravings
Acamprosate for maintenance