Substance Misuse Flashcards
What are the features of Drug Dependence
Drug Problems Will Continue To Harm
- D: strong Desire
- P: Preoccupation with drug
- W: Withdrawal state
- C: impaired ability to Control behaviour
- T: Tolerance to substance
- H: persistent use despite Harmful effects
What questions do you need to ask about the substance they are using
TRAP
- T: Type
- R: Route
- A: Amount
- P: Pattern
What are the Physical effects of Opiates
- Pin-point pupils
- Respiratory depression
- Hypothermia
- Reduced BP
- Coma
What are the Physical effects of Cocaine
- Increased HR + BP
- Pupils dilated
- Nausea + vomiting
- Sweating
- Arrhythmias
- Convulsions
What are the Physical effects of Benzodiazepines
- Unsteady gait
- Slurred speech
- Reduced gag reflex
- Nystagmus
- Hypothermia
- Coma
What are the Physical effects of Ecstasy
- Increased HR + BP
- Pupils dilated
- Nausea + vomiting
- Sweating
- Arrhythmias
- Convulsions
What are the Physical effects of Cannabis
- Increased appetite
- Dry mouth
- Conjunctival injection
What investigations should you do with substance misuse
- Bloods: infection screen, U+Es, LFTs, drug level
- Urinalysis: drug level
- ECG: for arrhythmias
- Echo: if endocarditis suspected
What is the management of Substance misuse
Bio: Hep B vaccine + detox options
Psycho: motivational interviewing
Social: Key worker, support groups, housing + finance help
What are risk factors to Alcohol misuse
- Younger
- Male
- Genetic factor (FH)
- Antisocial behaviour
- Stressors
What investigations should you do with Alcohol misuse
- Bloods: B12, Folate, LFTs, U+Es, amylase
- ## Alcohol questionnaires
What is the management for Alcohol misuse
Bio:
- Pabrinex + Chlordiazepoxide (acute withdrawal)
- Detox -> need to self-refer for this
Psycho:
- Motivational interviewing
Social
- Support groups
