Substance Related Disorders Flashcards
Alcohol, caffeine, cannabis, hallucinogens, inhalants, opioids, sedatives, hypnotic, anxiolytics, stimulants (cocaine), tobacco, anabolic androgenic steroids, other substances
Substance use disorders
The term for prolonged use and abuse of a substance
Substance use disorder
Used to describe a syndrome characterized by specific signs and symptoms after exposure to a substance
Substance intoxication
Used to describe a substance specific syndrome that results from the abrupt cessation of heavy and prolonged use of a substance
Substance withdrawal
Alcohol use disorder characterized by
Problematic pattern if alcohol use leading to impairment or distress as manifested by at least two of the following within a 12 month period
Alcohol use disorder with a presence of 2 to 3 symptoms
Mild AUD
Alcohol use disorder with presence of 4 to 5 symptoms
Moderate AUD
Alcohol use disorder with a presence of 6 to more symptoms
Severe AUD
T/F: bipolar disorders, schizophrenia, and antisocial Pd are associated with AUD
True
Alcohol intoxication diagnosis criteria
Ingestion
Problematic behavior
One of the symptoms such as slurred speech, incoordination, unsteady gait, nystagmus, impairment in attention or memory, stupor or coma
Caffeine intoxication criteria
High dose in excess if 250mg
Five symptoms
Cause significant distress or impairment
Caffeine withdrawal
Cessation or withdrawal within 24 hours by three symptoms: headache, marked fatigue, dysphoric mood, difficulty concentrating, flu like symptoms
Cannabis hse disorder criteria
Use leading to impairment with at least two symptoms during a 12 month period
Cannabis withdrawal criteria
Three symptoms within one week of quitting
Resting pulse
Sweating
Restlessness
Pupil size
Bone or joint aches
Runny nose or tearing
GI upset
Tremor
Yawning
Anxiety or irritability
Gooseflesh skin
Clinical opiate withdrawal scale or COWS
For COWS, what is considered mild withdrawal
5 to 12
For COWS, what is considered moderate withdrawal
13 to 24
For COWS, what is considered moderately severe withdrawal
25 to 36
For COWS, what is considered severe withdrawal
More than 36
Nausea and vomiting
Tremor
Paroxysmal sweats
Tactile disturbances
Auditory disturbances
Visual disturbances
Anxiety
Headache, fullness in head
Agitation
Orientation ns clouding of sensorium
Clinical institute withdrawal assessment of alcohol aka CIWA
For CIWA, what is considered mild withdrawal
Score of less than 8 to 10
For CIWA, what is considered moderate withdrawal
Scores of 8 to 15
For CIWA, what is considered severe withdrawal
Scores of 15 or more
CAGE questions
Have you ever felt you should cut down on your drinking drinking?
have people annoyed you by criticizing your drinking
Have you ever felt bad or guilty about your drinking?
have you ever had a drink first thing in the morning to study your nerves or to get rid of a hangover?
