Substance Use Flashcards
Korsakoff’s syndrome
Retrograde and anteretrograde amnesia and confabulation (attempts to compensate for memory loss by fabricating memories); hallucinations
Wernicke’s encephalopathy
Caused by thiamine deficiency often associated with alcoholism
Symptoms: confusion, loss of muscle coordination (leg tremors), vision changes - abnormal eye movements, double vision, eyelid dropping
Signs of alcohol intoxication
Inappropriate sexual or aggressive bx's Impaired judgement Slurred speech Emotional lability Incoordination Unsteady gait Involuntary, rhythmic movement of eyes Impaired attention or memory span Stupor coma
Signs of alcohol withdrawal
Sweating Tachycardia Hand tremor Insomnia Nausea/vomiting Transient illusions/hallucinations Anxiety Psychomotor agitation Grand mal seizures Delirium tremors (DT's)
Signs of amphetamines/cocaine intoxication
Euphoria Hyperactivity Grandiosity Confusion Anger Paranoia, muscular weakness Auditory hallucinations Tachycardia Elevated or lowered bp Dilated pupils, psychomotor agitation Perspiration Weight loss, muscular weakness
Signs of amphetamine/cocaine withdrawal
Dysphoric mood Fatigue Vivid and unpleasant dreams Insomnia or hypersonia Increased appetite Psychomotor agitation and retardation
Signs of caffeine intoxication
Restlessness, nervousness Excitement, insomnia Flushed face Dieresis gI disturbance Muscle twitches Rambling flow of thought and speech Tachycardia and arrhythmia, periods of inexaustibility Psychomotor agitation
Signs of cannabis intoxication
Impaired motor coordination Euphoria Anxiety Sensation of slowed time Impaired judgement Social withdrawal Conjunctival injection (redness of eyes) Increased appetite Dry mouth Tschycardia
Signs of hallucinogen intoxication
Perceptual changes Anxiety Depression Ideas of reference Paranoid ideation Pupillary dilation Tachycardia Sweating Palpitations Blurred vision Tremors Incoordination
Hallucinogen persisting perception disorder
Following cessation of use, the recexperiencing of perceptual symptoms that were experienced while on hallucinogen
It causes significant distress or impairment in social, occupational, and other important areas of functioning
Opioid intoxication
Initial euphoria followed by apathy or dysphoria Pupillary constriction Drowsiness or coma Slurred speech Impairment in attention and memory
Signs of opioid withdrawal
Dysphoric mood Nausea/vomiting Muscle aches Lacrimation or rhinorrhea (runny eyes and nose) Pupillary dilation Diarrhea Yawning Fever Insomnia
Symptoms of intoxication, withdrawal, and withdrawal delirium for sedatives, hypnotics, and anxiolytics
Same as those associated with alcohol
Dependent
The alcoholic family member
Enabler
- Often the spouse
- Person who does everything to get the dependent to stop drinking except what might actually work (confrontation or leaving the relationship)
Hero
Family member who is aware of what is going on and tried to assume responsibility for family by being successful
Often the oldest child
Scapegoat
The family member who rejected the family system
Often the 2nd child
Lost child
The member who quietly withdraws from the family system
Often the 3rd child
Mascot
The member who “plays the clown” in order to relieve family tension and their own pain
Often the youngest child
Remission
No criteria for substance use d/o have been met for at least 3 months (except cravings)
Does not apply when on agonist therapy (methadone) or in a controlled environment (locked hospital)
Early full remission
No criteria for substance use d/o for at least 3 months but less than 12
Except cravings
Sustained full remission
No criteria for substance use d/o for at least a 12 month period
Except cravings
