Substance abuse Flashcards

1
Q

Alcohol withdrawal timings?

A

Symptoms- 6-12 hours
Seizures - 36 hours
Delirium tremens - 72 hours

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2
Q

Treatment of delirium tremens?

A

Chlordiazepoxide

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3
Q

CAGE?

A

Cut down
Annoyed
Guilt
Eye opener

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4
Q

More detailed alcohol abuse questionnaire?

A

AUDIT

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5
Q

ICD 10 harmful use?

A

Pattern of substance abuse that is causing damage to health

This may be due to direct effects of the drug or a consequence of the intoxication of the drug

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6
Q

ICD 10 dependence syndrome?

A

3 of:
Strong desire to take substance
Difficulties in controlling substance taking behaviour
Physiological withdrawal state
Tolerance
Progressive neglect of alternative pleasures
Persisting use despite clear evidence of overtly harmful consequences

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7
Q

Acute intoxication with alcohol?

A
Reduced inhibitions
Agression
Blurred vision
Slurred speech
Increased urination
Sweating/flushing
Amnesia
Poor concentration + judgement
Nausea and vomiting
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8
Q

Consequences of alcoholism?

A
Alcoholic liver disease
Cirrhosis
Acute liver failure
Hepatic encephalopathy
Acute and chronic pancreatitis
Wernicke's encephalopathy
Fetal alcohol syndrome
Cardiovascular disease
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9
Q

Alcohol withdrawal symptoms?

A
Tremor
Sweating
Nausea, Retching
Mood fluctuation
Tachycardia, Hypertension
Seizures
Hallucinations 
Delirum tremens
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10
Q

What is delirium tremens?

A
Severe withdrawal 
Coarse tremor
Agitation
Fever
Tachycardia
Profound confusion
Delusions
Hallucination
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11
Q

Treatment of alcohol withdrawal

A

Pabrinex - thiamine supplement
Benzodiazepine
Naltrexone - relapse prevention
Acemprosate - anti-craving

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12
Q

Acute intoxication with opioids?

A
Analgesia
Respiratory depression 
Euphoria
Relaxation, sleep
Constipation
Hypotension
Pupillary constriction
Hypothermia
Reduced sex drive
Flushed warm skin
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13
Q

Withdrawal from opioids?

A
Pain, irritability
Hyperventilation
Dysphoria, depression
Restlessness, insomnia
Fearfulness, hostility
Diarrhoea
Hypertension
Pupillary dilation
Hyperthermia
Cold skin
Spontaneous ejaculation
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14
Q

Safe injecting advice?

A

New sterile needles on each occasion
Sterile water
Never share needles, syringes, spoons or filters
Rotate injection sites
Avoid injecting into neck, groin and breast
Avoiding injecting into infected areas
Ensure drug is completely dissolved before injecting
Always inject with blood flow
Do not take heroin alone

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15
Q

Acute intoxication with cocaine?

A
Hyperthermia
Dilation
Vertigo
Hypertension
Tachycardia
Tremor, twitches
Euphoria
Grandiosity
Agitation
Increased sexual interest
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16
Q

Amphetamines vs cocaine?

A

Similar effects

Longer duration of action for amphetamines

17
Q

Cocaine withdrawal?

A

Isn’t one but marked psychological addiction

18
Q

MDMA?

A

Stimulant and hallucination

19
Q

Acute intoxication of MDMA?

A
Closeness to others
Decreased fatigue
Pleasurable agitation
Increased sweating
Nausea+vomiting
Diminished potency
20
Q

Acute intoxication of cannabis?

A
Euphoria
Blood shot eyes
Tachycardia
Hypertension
Drowsiness
Dry mouth
Thirst
Fluctuations in respiration
Hunger
Nausea
Anxiety, paranoia
Altered time sense
Impaired judgement
21
Q

Features of benzo overdose?

A
Respiratory depression
Cyanosis
Confusion
Disorientation
Extreme dizziness
Weakness
Tremors
22
Q

What to use in benzo overdose?

A

Flumazenil - only when no chance of polypharmacy

23
Q

Acute intoxication with GHB?

A
Dissociation 
Euphoria
Intoxication
Nausea, vomiting
Seizures
Respiratory depression
24
Q

Hallucinogenic drugs?

A
LSD
PCP
Mushrooms
Ketamine
Visual distortion 
Sense of wonder at the normal
25
Q

Effects of chronic cocaine use?

A
Loss of nasal septum
Pruritus
Reduced attention
Insomnia
Lethargy
Insatiable hunger
Increased risk of MI + stroke 
Asthma type symptoms
26
Q

Risk factors for substance abuse?

A
Early aggressive behaviour
Lack of parental supervision
Drug availability
Abuse
Peers taking substance
Family history of abuse
27
Q

Protective factors for substance abuse?

A

Self control
Parental monitoring
Academic competence
Drugs+alcohol teaching

28
Q

Management of opioid dependence?

A

Methadone or buprenorphine

Daily supervision