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Module 6 > Substance use Disorder > Flashcards

Substance use Disorder Flashcards

1
Q

what does dopamine regulate

A

pleasure and pain and plays a major role in all addictions

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2
Q

what is the legal BAL is U.S

A

0.08%

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3
Q

BAL depends on what human factors

A

amount of alcohol consumed, body weight of individual and the time since consumption

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4
Q

what BAL can death occur at

A

10-15 drinks .3%-.50%

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5
Q

intended effects of alcohol

A

relaxation and decrease anxiety

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6
Q

intoxicating effects of alcohol

A

slurred speech, drowsiness, blackouts, loss of coordination, decrease LOC, stupor, coma, possible death

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7
Q

what are symptoms of withdrawal of alcohol AKA hangover

A

starts 4-12hrs after intake, cramping, tremors, swearing, vomiting, insomnia, increase pulse, increase respirations, fever, seizures, hallucinations

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8
Q

what are symptoms of alcohol withdrawal with delirium

A

may occur 2-3 days after drinking, severe disorientation, psychotic symptoms, terrifying hallucinations, severe hypertension, delirium, death

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9
Q

What causes wernicke- korsakoff syndrome

A

Inflammatory, hemorrhagic, degenerative condition of the brain caused by thiamine deficiency from poor diet and alcohol induced suppression of thiamine absorption

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10
Q

How is wernicke Korsakoff reversed

A

With thiamine if left untreated it leads to korsakoff’s psychosis

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11
Q

What is korsakoffs psychosis

A

Irreversible form of amnesia characterized by short term memory loss and inability to learn

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12
Q

what are intended effects of sedatives

A

sedation and decreased anxiety

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13
Q

what are intoxicating effects of sedatives

A

increased drowsiness, slurred speech, uncoordinated, disoriented, N&V, respiratory depression, decreased LOC, possible death

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14
Q

what is the antidote for benzodiazepines

A

flumazenil

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15
Q

what are withdrawal symptoms of sedatives

A

anxiety, diaphoresis, tremors, NV, hypertension, possible psychosis, seizures

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16
Q

who would you treat sedative overdose

A

tx like alcohol at first until you get lab results back then tx for benzo

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17
Q

what are intended effects of opioids

A

euphoria, pain relief

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18
Q

what are intoxicating effects of opioids

A

slurred speech, incoordination, impaired judgment, constricted pupils, decrease LOC, decreased respirations, possible death

19
Q

what is the antidote for opioids

A

naloxone

20
Q

what are withdrawal symptoms of opioids

A

sweating, rhinorrhea, yawning, tremors, irritability, diarrhea, fever, insomnia, NV, muscle spasms

21
Q

what is the first line of tx for opioid overdose

A

naloxone but if that isn’t working then go for flumazenil

22
Q

what is a strong indication of opiod toxicity

A

pinpoint pupils
depressed respirations
coma

23
Q

what are intended effects of stimulants

A

rush of euphoria, pleasure, and increase energy

24
Q

what are intoxicating effects of stimulants

A

dizzy, iritable tremors, sin sensation, impaired judgement, tachycardia, increased BP, dilated pupils, hallucinations, cardiovascular collapse, death

25
Q

what are withdrawal symptoms of stimulants

A

craving, depression, fatigue, excess sleeping or insomnia, paranoia, not life threatening but may become suicidal

26
Q

why do you not have discussions with pts who are withdrawing

A

because they are less likely to listen

27
Q

what are intended effects of hallucinogens and dissociative drugs

A

increase sense of self, altered perceptions

28
Q

what are intoxicating effects of hallucinogens and dissociative drugs

A

anxiety, depression, paranoia, aggression, violence, impaired judgment, hallucinations, dilated pupils, increase pulse, BP, temp, palpitations, tremors, panic attacks

29
Q

what are withdrawal symptoms of hallucinogens

A

visual disturbances, flashbacks, hallucinations may occur for years

30
Q

what is the intended effects of inhalants

A

euphoria

31
Q

what are intoxicating effects of inhalants

A

behavioral or psychological changes, incoordinated, slurred speech, drowsiness, stupor, coma, anoxia etc

32
Q

what are the withdrawal symptoms of inhalants

A

nothing

33
Q

what group is most affected by inhalants

A

teens around age 16 17ish

34
Q

what are the intended effects of cannabis

A

euphoria, sedation, decreased intraocular pressure, NV, mgmt of pain, weightloss

35
Q

what are intoxicating effects of cannabis

A

paranoia, delusions, hallucinations, increase appetite, tachycardia. chronic could lead to lung cancer, bronchitis

36
Q

what are withdrawal symptoms of cannabis

A

irritibility, aggression, anxiety, insomnia, lack of appetite, tremors, depression, abd pain, HA

37
Q

what is the intended use for tobacco (nicotine)

A

relaxation

38
Q

what are withdrawal symptoms of tobacco

A

irritability, craving, nervous, insomnia, anger, depression, increased appetite

39
Q

what are the 5 A’s of brief smoking cessation counseling

A 
ask about smoking
advise to quit
assess for willingness to qui 
assist in quit attempt
arrange for follow up
40
Q

what is the first line defense of alcohol addiction

A

naltrexone

41
Q

why is disulfiram last line defense for alcohol addiction

A

because the side effects are SO bad if they have a sip of alcohol *so teach them to avoid drinking while taking this med

42
Q

what is the best way to reduce need for nicotine

A

replace it in another form like patches, gum, lozenges, etc

*taper off between 2-4 weeks depending on how much you are taking in

43
Q

what is the tx for nicotine addiction

A

buproprion

*black box warning for suicide

Module 6 (11 decks)

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