substance misuse

Question 1

opioid mood and cognition effects

Answer 1

euphoria, drowsiness, apathy, personality change

Question 2

physical effects of opioids

Answer 2

miosis, red conjunctivae, nausea, pruritis, constipation

high doses - resp depression, coma, death

Question 3

withdrawal syndrome for opioids presentation

Answer 3

muscle aches, nausea, sweating, mydriasis, lacrimation, tachcardia, tremor, anxiety

Question 4

sedatives mood cognition effects

Answer 4

drowsiness, disinhibition, confusion, poor conc, less anxious

Question 5

physical effects of sedatives

Answer 5

hypotension, impaired coord,

- resp depression in high doses

Question 6

withdrawal syndrome of sedatives

Answer 6

similar to alc withdrawal - seizures, allucinations, sweating, tachycardia, tremor, nausea

Question 7

stimulants mood and cognition effects

Answer 7

alert, hyperactive, euphoria, irritability, aggression, paranoia, hallucinations, psychosis

Question 8

physical effects of stimulants

Answer 8

mydriasis, tremor, hypertension, tachycardia, arrhytmia, fever, convulsions

Question 9

withdrawal syndrome of stimulants

Answer 9

dysphoria, fatigue, overeating, insomnia or hypersomnia, psychomotor retardation, agitation

Question 10

how quickly does dependence happen in opioid use

Answer 10

7 days

Question 11

pathophysiology of sunstance misuse

Answer 11

stimulation of brains reward system - mesolimbic dopamine

Question 12

red flags insubstance misuse assessment

Answer 12

polydrug use, previous overdose, dangerous injection practises, driving, children or vulnerable adults at home

Question 13

signs of acute substance intoxictions

Answer 13

pupils, coordination, slurred speech, temp

Question 14

investigatsion for susbtance misuse

Answer 14

• urine toxicology screen
• blood tests depending on substance or route of use - BBV testing
• ECG - depends on susbtance

Question 15

principles for all substance misuse management

Answer 15

• harm reduction
• detox
• maintenance of abstinence