Exam 3 Addictive Disorders

Question 1

Substance Abuse criteria? (4)

Answer 1

1+ in 12 mos:

1) Failure to fulfill work, school, home obligations
2) Physically hazardous situations
3) Legal problems
4) Recurrent social/interpersonal problems

Question 2

Substance Dependence criteria? (7)

Answer 2

3+ in 12 mos:

1) Tolerance
2) W/D
3) Use longer than intended
4) Unsuccessful efforts to cut down
5) Significant time spend obtaining or recovering from substance
6) Give up social/occup/recreational activities
7) Use despite physical/psych problems

Question 3

Alcohol dependence tx?

Answer 3

In-pt detox:
Treat DTs (-zepams, phenobarb)
Nutrition
Thiamine

Extended tx:
Antabuse (disulfiram)
Compral (acamprostate)
ReVia (naltrexone)
Counseling

Question 4

Opiate dependence tx?

Answer 4

In-pt detox if mod-severe:
Naloxone for OD
Clonidine for SNS over-stim
Taper off w/ methadone

Extended:
Methadone or Buprenophine
Counseling