Substance Intoxication / Withdrawal Flashcards
Signs of Intoxication: inappropriate sexual or aggressive behaviors; impaired judgment; slurred speech; emotional lability; incoordination; unsteady gait; involuntary, rhythmic movement of the eyes; impaired attention or memory; stupor; coma.
Alcohol
+ Sedatives, Hypnotics, and Anxiolytics
Signs of Withdrawal: sweating; tachycardia; hand tremor; insomnia; nausea or vomiting; transient illusions or hallucinations; anxiety; psychomotor agitation; grand mal seizures; delirium tremens (DT’s).
Alcohol
+ Sedatives, Hypnotics, and Anxiolytics
A chronic memory disorder caused by severe deficiency of thiamine (vitamin B-1), often due to alcohol abuse.
The individual may attempt to compensate for memory loss by fabricating memories. It can cause hallucinations and can also lead to personality changes.
The prognosis is generally poor.
Wernicke-Korsakoff syndrome
An acute, life threatening (but reversible) condition that requires emergency treatment.
It results from severe acute deficiency of thiamin, due to alcohol abuse.
Individuals may experience confusion, loss of muscle coordination (leg tremors), and vision changes (abnormal eye movements, double vision, eyelid drooping).
The prognosis is good if treated accordingly.
Wernicke-Encephalopathy
Signs of Intoxication: euphoria; anxiety; hyperactivity; grandiosity; confusion; anger; paranoia; auditory hallucinations; tachycardia; elevated or lowered blood pressure; dilated pupils; perspiration or chills; nausea or vomiting; weight loss; psychomotor agitation; muscular weakness; confusion; seizures.
Amphetamines/Cocaine
Signs of Withdrawal: dysphoric mood; fatigue; vivid and unpleasant dreams; insomnia or hypersomnia; increased appetite; psychomotor agitation or retardation.
Amphetamines/Cocaine
Signs of Intoxication: restlessness; nervousness; excitement; insomnia; flushed face; diuresis; gastrointestinal disturbance; muscle twitches; rambling flow of thought and speech; tachycardia or arrhythmia; periods of inexhaustibility; psychomotor agitation.
Caffeine
Signs of Withdrawal: headache (most common); changes in mood (such as depression and anxiety); difficulty concentrating; fatigue; increased appetite.
Caffeine
Signs of Intoxication: impaired motor coordination; euphoria; anxiety; sensation of slowed time; impaired judgment; social withdrawal; conjunctival injection (redness of the eyes); increased appetite; dry mouth; tachycardia.
Cannabis
Signs of Withdrawal: irritability; anger or aggression; nervousness or anxiety; sleep difficulty (insomnia); decreased appetite or weight loss; restlessness; depressed mood; stomach pain; shakiness/tremors; sweating; fever, chills, and/or headache.
Cannabis
Signs of Intoxication: perceptual changes; anxiety; depression; ideas of reference; paranoid ideation; pupillary dilation; tachycardia; sweating; palpitations; blurred vision; tremors; incoordination.
Hallucinogens
Following the cessation of use, the reexperiencing of one or more of the perceptual symptoms that were experienced while intoxicated with the hallucinogen; this reexperiencing causes significant distress or impairment in social, occupation, or other important area of functioning.
Hallucinogen Persisting Perception Disorder (Flashbacks):
Signs of Intoxication: initial euphoria followed by apathy or dysphoria; pupillary constriction; drowsiness or coma; slurred speech; impairment in attention and memory.
Opioids
Signs of Withdrawal: dysphoric mood; nausea or vomiting; muscle aches; lacrimation or rhinorrhea (runny eyes & nose); pupillary dilation; diarrhea; yawning; fever; insomnia.
Opioids
Remission specifier: Early Full Criteria
NONE of the criteria for SUDS (except cravings) have been met for AT LEAST 3 MO but less than 12
