Substance Abuse Flashcards
Thalidomide
marketed for pregnancy nausea – led to babies being born with missing limbs or extra joints
now used for multiple myeloma or hansen’s disease (leprosy)
Isotretinoin (Accutane)
used to treat severe acne
25% lead to neonatal defects like a cleft palate, heart defect, hydrocephalus, eye or ear abnormalities, facial dymorphism
Fetal Alcohol Spectrum Disorder
Common Countries?
1 in South Africa, Croatia, then Ireland
Alcohol passes through umbilical cord which can lead to death, abnormal facial features, growth deficiency, CNS, cognitive impairment
ARND
Alcohol Related Neurodevelopmental Disorder
memory, judgement, impulse control
ARBD
Alcohol Related Birth Defects
organ malformation (heart, kidney, bones, ears, eyes)
ND-PAE
diagnostic criteria?
Prenatal Alcohol Exposure
problems with thinking, memory, behaviors, and daily activities
13+ drink per month
DSM V: Telecanthus, Ptosis, Nystagmus, Absent Philtrum, Vision (50% strab, decreased VA, high RE) and hearing problems
Nicotine
fetus effects?
miscarriages > deaths or born premature
birth defects (cleft palate) and placenta problems (bleeding)
Risk Factor for SIDS(sudden infant death syndrome)
SUIDS
Sudden Unexpected Infant Death Syndrome
during sleep the baby dies
SIDS: no obvious cause of death or accidental suffocation
Cannabis
can pass to fetus but breastmilk is inconclusive
LBW, developmental delay, cognitive delay, anxiety, or antisocial
Neonatal Opioid Withdrawal Syndrome
hyperactivity of CNS/ANS
once born, the baby will be cut off and will have a louder cry, irritable, tremor, sweat, and hyperthermia
we would do a morphine taper for the treatment
Methamphetamine
symptoms?
effects to fetus?
increased miscarriage, LBW, pre-term labor, feeding difficulty
ADHD symptoms + anxiety + moodiness
