SJSM Block 3 how to tell substance abuse apart Flashcards

1
Q

Signs of alcohol intoxication

A

Temporarily altered:
Consciousness
Cognition
Perception
Judgment
Affect
Behavior

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2
Q

Rx Alcohol intoxication:

Aggression/agitation

A

Benzodiazepines (sedation)
Antipsychotics (Haloperidol)
Thiamine (W&K prevention)

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3
Q

Signs of Alcohol use disorder

A

Chronic condition with uncontrolled alcohol use that causes physical, psychological, and social impairment or distress.

**Withdrawal symptoms occur when alcohol consumption stops

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4
Q

Alcohol withdrawal syndrome

A

Onset 6-24hrs post drinking cessation:

  • Palpitations
  • Sweating
  • Tachycardia
    -High BP
  • Tremor
  • Hyperreflexia
  • Headaches
  • Nausea/vomiting
  • Anxiety
  • Insomnia
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5
Q

Onset 6-24hrs post drinking cessation:

  • Palpitations
  • Sweating
  • Tachycardia
    -High BP
  • Tremor
  • Hyperreflexia
  • Headaches
  • Nausea/vomiting
  • Anxiety
  • Insomnia
A

Alcohol withdrawal syndrome

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6
Q

Alcohol withdrawal delirium (Delirium tremens)

A

Onset 72-96hrs post booze cessation

  • Altered consciousness & sympathetic hyperactivity
  • Visual/tactile hallucinations
  • Tachycardia
  • Hypertension
  • Anxiety
  • Nausea
  • Sweating
  • Psychomotor agitation
  • Seizures
  • Insomnia
  • Rest & intention tremor

Lasts 2-3 days & can be lethal

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7
Q

Signs of Caffeine intoxication

A

5 of the following

  • Psychomotor agitation
  • Excitement
  • Insomnia
  • Flushed face
  • Muscle twitches
  • Arrythmias
  • Tachycardia
  • Diuresis
  • Anxiety
  • Nervousness
  • GI issues
  • Tremors
  • Seizures
  • Headaches
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8
Q

5 of the following

  • Psychomotor agitation
  • Excitement
  • Insomnia
  • Flushed face
  • Muscle twitches
  • Arrythmias
  • Tachycardia
  • Diuresis
  • Anxiety
  • Nervousness
  • GI issues
  • Tremors
  • Seizures
  • Headaches
A

Caffeine intoxication

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9
Q

Signs of Caffeine withdrawal

A

at least 3 of the following post 24hrs no caffeine
- Headache
- Drowsiness
- Flu-like symptoms
- Muscle pain
- Depressed mood
- Irritability

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10
Q

at least 3 of the following post 24hrs no caffeine
- Headache
- Drowsiness
- Flu-like symptoms
- Muscle pain
- Depressed mood
- Irritability

A

Caffeine withdrawal

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11
Q

Signs of weed intoxication

A
  • Euphoric mood
  • Calm/relaxed
  • Lack of attention
  • Distorted sense of time
  • Anxiety
  • Tachycardia
  • Increased appetite
  • Red eyes
  • Nystagmus
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12
Q
  • Euphoric mood
  • Calm/relaxed
  • Lack of attention
  • Distorted sense of time
  • Anxiety
  • Tachycardia
  • Increased appetite
  • Red eyes
  • Nystagmus
A

Weed intoxication

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13
Q

Signs of cannabis withdrawal

A

1 week post cessation:
-Irritability/anger/aggression
- Anxiety
- Depression
- Anorexia/weight loss
- Restlessness
- Sleep disturbances
- Headaches
- Fever
- Chills
- Tremors/sweating

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14
Q

1 week post cessation:
-Irritability/anger/aggression
- Anxiety
- Depression
- Anorexia/weight loss
- Restlessness
- Sleep disturbances
- Headaches
- Fever
- Chills
- Tremors/sweating

A

Weed withdrawal

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15
Q

Signs of LSD

A

5HT-Serotonin-receptor agonist

  • Hallucinations
  • Anxiety
  • Paranoia
  • Psychosis
  • Flashbacks
  • Mydriasis
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16
Q

5HT-Serotonin-receptor agonist

  • Hallucinations
  • Anxiety
  • Paranoia
  • Psychosis
  • Flashbacks
  • Mydriasis
A

Signs of LSD

17
Q

Treating LSD intoxication

A

Antipsychotics
Benzodiazepines (anxiety)

18
Q

Signs of MDMA

A

More release of Serotonin & Dopamine (reduced reuptake)

  • Hyponatremia
  • Bruxism
  • Seizures
19
Q

More release of Serotonin & Dopamine (reduced reuptake)

  • Hyponatremia
  • Bruxism
  • Seizures
A

Signs of MDMA

20
Q

Signs of Cocaine use

A

Inhibited dopamine, serotonin, epi, & norepi reuptake (CNS excitation)

  • Arrythmias
  • Mydriasis
  • Chest pain
  • Suicidal ideation
21
Q

Inhibited dopamine, serotonin, epi, & norepi reuptake (CNS excitation)

  • Arrythmias
  • Mydriasis
  • Chest pain
  • Suicidal ideation
A

Signs of Cocaine use

22
Q

Signs of cocaine withdrawal

A
  • Fatigue
  • Anhedonia
  • Severe depression + suicidal ideation
  • Constricted pupils
  • Psychomotor agitation
23
Q
  • Fatigue
  • Anhedonia
  • Severe depression + suicidal ideation
  • Constricted pupils
  • Psychomotor agitation
A

Cocaine withdrawal

24
Q

Signs of amphetamines

A

more release of norepi, serotonin, & dopamine

  • CNS stimulation
  • Hallucinations
  • Tachycardia
  • Hypertension
  • Arrythmias
  • Disorganization
  • Bruxism
  • Sleep disorders
25
Q

more release of norepi, serotonin, & dopamine

  • CNS stimulation
  • Hallucinations
  • Tachycardia
  • Hypertension
  • Arrythmias
  • Disorganization
  • Bruxism
  • Sleep disorders
A

Signs of amphetamines

26
Q

Signs of amphetamine withdrawal

A
  • Anxiety
  • Mood disorders
  • Psychosis
27
Q

Signs of Methamphetamines

A
  • Agitation
  • Psychosis
28
Q

Signs of Methamphetamine withdrawal

A
  • Depression