Substance Abuse Flashcards
substance abuse
use of substance over the past 12 months with subsequent adverse consequences or placement of affected person in high-risk physically hazardous situations
signs and syms of ppl with substance abuse
- failure to fulfill major role at work, school or home
- legal problems
- persistent interpersonal problems
what is common to all substances of abuse?
disruption of endogenous reward system
the brains of ppl with substance abuse are flooded with which hormone?
dopamine
disruption of endogenous reward system can cause disruption of what?
- motivation/drive
- conditioned learning
- inhibitory controls
natural rewards
- food
- music
- sex
T/F: substance abuse affects all genders and socioeconomic statuses
true, substance abuse doesn’t discriminate
which drug caused the most deaths of Ohio residents due an unintentional drug overdose in 2016?
fentanyl and related drugs then heroin
according to the new opioid prescribing rules, how many days of opioids can you prescribe adults?
7 days
according to the new opioid prescribing rules, how many days of opioids can you prescribe minors?
5 days
what is the daily average of hydrocodone that may be prescribed?
30 mg daily average (6 tabs)
opioid rx requirement
CDT code and days worth
how can pain be managed in pts with a history of substance abuse?
- consider pre-emptive analgesics
- consider long-acting LA
- have a step 1 plan for routine non-opioid analgesics
- have a step 2 plan for prn opioids
opioid use disorder
chronic, relapsing illness
med management of opioid use disorder
- medically supervised withdrawal followed by meds for long-term maintenance
- opioid agonists
opioid agonists
- methadone
- buprenorphine
effect of opioid agonists
- suppress craving and withdrawal syms
- block acute effects of other opioids reducing euphoric effect
mods to dental txtment
- avoid opioid analgesics if possible
- work with physician managing substance abuse program
why are we concerned with pts who recently used cocaine or methamphetamine?
CV problems may occur (i.e. arrhythmias, MI, stroke)
how long should you wait before txting pt who recently used cocaine or methamphetamine?
at least 24 hours
can you txt pt with acute intoxication?
no
