Substance Use Disorder Flashcards
What are the 10 categories of substances
Caffeine
Alcohol
Nicotine
Cannabis
Sedatives
Opioids
Stimulants
Hallucinogens
Inhalants
Others
What is abuse
The use of substance which falls outside of medical necessity or societal acceptance
What is addiction
Chronic relapsing disease- tolerance and withdrawal symptoms
What is tolerance
Increase amount used to achieve desired affect
What is score for SUD
Mild
Moderate
Severe
2-3
4-5
6 or more
What are some risk factors for SUD
Psychological
Social
Gender
Genetics
What are the three CNS depressants
Alcohol
Barbiturates
Benzodiazepines
What tool is used to look at alchohol withdrawal score
CIWA tool
What are some s/s of alcohol withdrawal delirium tremens
Hyperactivity
Agitated behavior
Hallcuinations
Increased temp
Changing LOC
Possible death
What is wenicke’s encephalopathy
A inflammatory degenerative condition caused by thiamine deficenivy from poor diet and alchohol induced suppression of thiamine absorption
Can you reverse wenike’s encephalopathy
Yes with thiamine
What are some s/s of koraskoff’s psychosis (4)
Short term memory loss
Long term memory gaps
Inability to learn
Confusion
Is Korsakoff’s psychosis
NO
What are some medication interventions for alcohol withdrawal (5)
Benzos
Gabapentin
Beta blockers
Thiamine
Folic acid/b12
What are some s/s benzo toxicity
Severe changes in LOC
What is the reversal agent for benzo toxicity
Flumazenil
What is the triad symptoms for opiates toxicity
Pinpoint pupils
Coma
Respiratory depression
What is treatment for Opiate toxicity (3)
Narcan/ nalmefene
Airway management
Supplemental Oxygen
What meds can help with opioid withdrawal
Methadone
CLonidine
What are some CNS stimulants
Cocaine
Methamphetamine s
What are s/s of cocaine withdrawals (6)
Fatigue/lethary/ sleepiness
Anxiety/ agation
Disorientation
Craving
Depression
Apathy
What are some s/s of methamphetamine intoxication
Short term (2)
Long term (3)
Short term
Hyperthermia
Increased respirations
Long Term
Paranoia with delusion
Hallucinations
Potential for violence
What are the nursing interventions for CNS stimulant overdoses
ABCS
O2
Benzo
Cooling measure
IV antihypertensives
What are the “club drugs”
Ecstasy
GHB
Rohypnol
What are nursing interventions for ecstasy overdose
ABCs
Cooling measures
Sedation with benzos
Activated characoal
what are the dissociative drugs
PCP
Ketamine
Salvia
What is the antidote for rohypnol
FLumazenil/activated charcoal
What are the hallucinogen
LSD
Mescaline
Psilocybin
What are the nursing interventions for hallucinogens
Low stim
Safety
Speech
Meds- haloperidol/benzo
What are the cathones
Bath salts
K2
Spice
What is the treatment for inhalants
Medical support
B12 and folate
What is the priority question with alcohol withdrawal
“When was your last drink”
When preventing relapses what do you need to look for
Emotional cue
Mental response
Physical cues
