SJSM Block 3 how to tell substance abuse apart Flashcards
Signs of alcohol intoxication
Temporarily altered:
Consciousness
Cognition
Perception
Judgment
Affect
Behavior
Rx Alcohol intoxication:
Aggression/agitation
Benzodiazepines (sedation)
Antipsychotics (Haloperidol)
Thiamine (W&K prevention)
Signs of Alcohol use disorder
Chronic condition with uncontrolled alcohol use that causes physical, psychological, and social impairment or distress.
**Withdrawal symptoms occur when alcohol consumption stops
Alcohol withdrawal syndrome
Onset 6-24hrs post drinking cessation:
- Palpitations
- Sweating
- Tachycardia
-High BP - Tremor
- Hyperreflexia
- Headaches
- Nausea/vomiting
- Anxiety
- Insomnia
Onset 6-24hrs post drinking cessation:
- Palpitations
- Sweating
- Tachycardia
-High BP - Tremor
- Hyperreflexia
- Headaches
- Nausea/vomiting
- Anxiety
- Insomnia
Alcohol withdrawal syndrome
Alcohol withdrawal delirium (Delirium tremens)
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
Signs of Caffeine intoxication
5 of the following
- Psychomotor agitation
- Excitement
- Insomnia
- Flushed face
- Muscle twitches
- Arrythmias
- Tachycardia
- Diuresis
- Anxiety
- Nervousness
- GI issues
- Tremors
- Seizures
- Headaches
5 of the following
- Psychomotor agitation
- Excitement
- Insomnia
- Flushed face
- Muscle twitches
- Arrythmias
- Tachycardia
- Diuresis
- Anxiety
- Nervousness
- GI issues
- Tremors
- Seizures
- Headaches
Caffeine intoxication
Signs of Caffeine withdrawal
at least 3 of the following post 24hrs no caffeine
- Headache
- Drowsiness
- Flu-like symptoms
- Muscle pain
- Depressed mood
- Irritability
at least 3 of the following post 24hrs no caffeine
- Headache
- Drowsiness
- Flu-like symptoms
- Muscle pain
- Depressed mood
- Irritability
Caffeine withdrawal
Signs of weed intoxication
- Euphoric mood
- Calm/relaxed
- Lack of attention
- Distorted sense of time
- Anxiety
- Tachycardia
- Increased appetite
- Red eyes
- Nystagmus
- Euphoric mood
- Calm/relaxed
- Lack of attention
- Distorted sense of time
- Anxiety
- Tachycardia
- Increased appetite
- Red eyes
- Nystagmus
Weed intoxication
Signs of cannabis withdrawal
1 week post cessation:
-Irritability/anger/aggression
- Anxiety
- Depression
- Anorexia/weight loss
- Restlessness
- Sleep disturbances
- Headaches
- Fever
- Chills
- Tremors/sweating
1 week post cessation:
-Irritability/anger/aggression
- Anxiety
- Depression
- Anorexia/weight loss
- Restlessness
- Sleep disturbances
- Headaches
- Fever
- Chills
- Tremors/sweating
Weed withdrawal
Signs of LSD
5HT-Serotonin-receptor agonist
- Hallucinations
- Anxiety
- Paranoia
- Psychosis
- Flashbacks
- Mydriasis
5HT-Serotonin-receptor agonist
- Hallucinations
- Anxiety
- Paranoia
- Psychosis
- Flashbacks
- Mydriasis
Signs of LSD
Treating LSD intoxication
Antipsychotics
Benzodiazepines (anxiety)
Signs of MDMA
More release of Serotonin & Dopamine (reduced reuptake)
- Hyponatremia
- Bruxism
- Seizures
More release of Serotonin & Dopamine (reduced reuptake)
- Hyponatremia
- Bruxism
- Seizures
Signs of MDMA
Signs of Cocaine use
Inhibited dopamine, serotonin, epi, & norepi reuptake (CNS excitation)
- Arrythmias
- Mydriasis
- Chest pain
- Suicidal ideation
Inhibited dopamine, serotonin, epi, & norepi reuptake (CNS excitation)
- Arrythmias
- Mydriasis
- Chest pain
- Suicidal ideation
Signs of Cocaine use
Signs of cocaine withdrawal
- Fatigue
- Anhedonia
- Severe depression + suicidal ideation
- Constricted pupils
- Psychomotor agitation
- Fatigue
- Anhedonia
- Severe depression + suicidal ideation
- Constricted pupils
- Psychomotor agitation
Cocaine withdrawal
Signs of amphetamines
more release of norepi, serotonin, & dopamine
- CNS stimulation
- Hallucinations
- Tachycardia
- Hypertension
- Arrythmias
- Disorganization
- Bruxism
- Sleep disorders
more release of norepi, serotonin, & dopamine
- CNS stimulation
- Hallucinations
- Tachycardia
- Hypertension
- Arrythmias
- Disorganization
- Bruxism
- Sleep disorders
Signs of amphetamines
Signs of amphetamine withdrawal
- Anxiety
- Mood disorders
- Psychosis
Signs of Methamphetamines
- Agitation
- Psychosis
Signs of Methamphetamine withdrawal
- Depression
