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Psychiatry > Substance Abuse > Flashcards

Substance Abuse Flashcards

1
Q

List some of the substances listed under abuse in DSM-5

A

Alochol, caffeine, Cannabis, hallucinogens, PCP, Tobacco, Opiods

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2
Q

Proper presentation and naming of substance abuse

A

[Substance] Use Disorder

Gotta stay Politically Correct

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3
Q

Substance use disorder symptoms

A 
Withdrawal
Tolerance
Unsuccessful attempt to cut down
Great time spent obtaining/using
Cravings
Use even when hazardous
Reduced occupational productivity.
Failure fulfilling roles
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4
Q

Categories of substance use disorders

A

Mild- 2 or 3 symptoms
Moderate- 4 or 5 symptoms
Severe- 6 or more symptoms

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5
Q

Schedule 1 substances

A

NO MEDICAL USE

Heroin, Marijuana, LSD, GHB

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6
Q

Schedule 2 substances

A

High potential for abuse…has medical uses though

Cocaine, Morphine, Methylphenidate, Methamphetamine

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7
Q

Schedule 3 substances

A

Less potential for abuse

Rohypnol, Ketamine, Codeine, Dronabinol

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8
Q

Schedule 4 substances

A

Benzodiazepines, Zolpidem

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9
Q

Schedule 5 substances

A

Codeine Cough Medicine

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10
Q

Alcohol Screening questions

A 
CAGE
Cut down?
Annoyed by criticism from others?
Guilty feelings?
Eye Opener?
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11
Q

Alochol Use Disorder PHysical exam findings (early stage)

A 
Gastritis
FAtty liver
OBesity
Thrombocytopenia
Falls/trauma
Vitamin/electrolyte deficiency
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12
Q

Alcohol Use disorder Physical exam findings (late stage)

A 
Cardiomyopathy
Cancer
Portal Hypertension
WErnicke-Korsakoff
Testicular atrophy
Esophageal Bleeding
Cirrhosis
DEmentia
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13
Q

Lab Findings in AUD

A

LFTs
BAL
Platelets

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14
Q

What is in a standard drug screen?

A 
Cocaine
Methamphetamine
PCP
Marijuana
Opiates
Barbituates
Benzodiazepine (Sometimes)
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15
Q

AST:ALT Ratio in Alcoholics

GGT levels in Alcoholics

A

AST:ALT
2:1

GGT
>35

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16
Q

Wernicke Encephalopathy

A

Acute Thiamine (B1) deficiency

Confusion, Ataxia, opthalmoplegia

17
Q

Wernicke-Korsakoff’s Syndrome

A

Chronic Thiamine (B1) Deficiency
Impaired memory and alertness
Confabulation (make up stories)
Retrograde and/or anterograde memory loss

18
Q

Delerium Tremens

A

Happens 3-4 days after Alcohol abstinence. Sign of Alcohol Withdrawal.
MEDICAL EMERGENCY 20% MORTALITY
Usually preceded by a seizure

19
Q

Treatments of Alcohol Withdrawal

A

Benzodiazepine taper (4-6 days)
Carbamazepine/phenobarbital also
Thiamine + Fluid + Electrolytes
Frequent monitoring of vital signs

20
Q

Opiates vs Opiods

A

Opiates are directly derived from Opium

Opiods is a blanket term for all similar substances including natural (opiates), synthetic, and semi-synthetic.

21
Q

Signs of Opiate OD/intoxication

A 
Miosis
Respiratory Depression (OD)
Hypotension
Hypothermia
Bradycardia
Constipation
Slurred Speech
Drowsiness/coma
22
Q

Opiate Withdrawal

A 
NOT LIFE THREATENING.     Just treat the Symptoms
Anxiety
Yawning
Diaphoresis (sweating)
Nausea
Diarrhea
23
Q

Naloxone

A

Narcan.
Used in Opiod overdose.
Is metabolized if given orally.
Thats why it is combined with other opiates prescribed to be taken orally…if the patient tries to shoot it up then they get serious withdrawal symptoms. If they take it orally the medication works as intended.

24
Q

Naltrexone

A

Oral acting.

Approved in the use of treating Alcohol and opiate dependence

25
Q

Full Agonists, Partial Agonists, Antagonists

A

Full: Morphine, Oxycodone (also Methadone)
Partial: Buprenorphine
Antagonists: Naloxone, Naltrexone

26
Q

Buprenorphine

A

Partial Agonist.
Long duration of action and tapers itself
Office based treatment of opiate dependence.

27
Q

Suboxone

A

Buprenorphine + Naloxone

Oral medication that if shot up…will produce serious withdrawal symptoms.

28
Q

Subutex

A

Buprenorphine tablet (without the Naloxone like in Suboxone)

29
Q

Who can prescribe MEthadone for pain management?

A

Any licensed Doctor.

30
Q

Who can prescribe Methadone for opiate addiction?

A

Only at a licensed facility.

31
Q

PCP

A

Hallucinogen that is screened for in Urine Drug Screen
Long half life (24 hours)
Dissociative anasthetic
NMDA receptor/ glutamate

32
Q

Symptoms of Cocaine Intoxication

A 
Hyperalertness
Restlessness/pacing
Talkative
Aggression
Impulsivity
Chest pain/ other ischemia.

Psychiatry (18 decks)

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