Substance Use/Abuse Flashcards
Treatment for DTs in alcohol withdrawal
benzodiazepines
Alcoholic lab values
GGT sensitive
AST 2X > ALT
Intoxication: Ataxia, minor respiratory depression
Benzos
Intoxication: euphoria, respiratory and CNS depression, decreased gag reflex, pinpoint pupils
Opioids (ex. heroin)
Intoxication: emotional lability, slurred speech, ataxia, coma, blackouts
Alcohol
Intoxication: marked respiratory depression
Barbiturates
Intoxication: euphoria, grandiosity, pupillary dilation, prolonged wakefulness and attention, hypertension, tachycardia, anorexia, paranoia, fever
Amphetamines
Intoxication: impaired judgement, pupil dilation, hallucinations, paranoid ideations, angina, sudden cardiac death
Cocaine
Intoxication: restlessness, increased diuresis, muscle twitching
caffeine
Intoxication: restlessness
Nicotine
Intoxication: belligerence, impulsiveness, psychomotor agitation, analgesia, vertical and horizontal nystagmus, tachycardia, homicidality, psychosis, delirium, seizures
PCP
Intoxication: perceptual distortion, depersonalization, anxiety, paranoia, psychosis, possible flashbacks
LSD
Intoxication: euphoria, anxiety, paranoid delusions, perception of slowed time, impaired judgement, social withdrawal, increased appetite, dry mouth, conjunctival injection, hallucinations
Marijuana
Withdrawal: autonomic hyperactivity with tachycardia, tremors, anxiety, seizures (2-5 days), psychotic symptoms, confusion
Alcohol
Withdrawal: sweating, dilated pupils, fever, piloerection, rhinorrhea, yawning, nausea, stomach cramps, diarrhea
Opioids
Withdrawal: delirium, life-threatening CV collapse
barbiturates
Withdrawal: sleep disturbance, depression, rebound anxiety, seizure
Benzos
Withdrawal: anhedonia, increased appetite, hypersomnolence, extistential crisis
Amphetamines
Withdrawal: hypersomnolence, malaise, severe psychological craving, depression/suicidality
cocaine
Withdrawal: lack of concentration, HA
caffeine
Withdrawal: irritability, anxiety, craving
nicotine
Withdrawal: depression, anxiety, irritability, restlessness, anergia, disturbances of thought and sleep
PCP
Withdrawal: irritability, depression, insomnia, nausea, anorexia
Marijuana
Tx of opioid intoxication
Naloxone
Naltrexone
Tx of opioid withdrawal
Methadone
Buprenorphine
Tx of benzo intoxication
flumazenil (DO NOT GIVE TO WITHDRAWING PATIENT)
Tx of cocaine intoxication
benzos
Tx of nicotine withdrawal
Patch, gum, lozenge
Bupropion/Varenicline
Tx of PCP intoxication
Benzos
Antipsychotic
Tx of alcoholism
disulfiram
Naltrexone