Substance use disorders Flashcards
1
Q
Alcohol use disorder- Eti
A
- M>F
- Factor in rapes and assaults
- Genetic influence
- Suicide and intrafamily homicide
- Two phase syndrome- at risk drinking and misuse
2
Q
Alcohol use disorder- Sx
A
- Physiologic dependence evidenced by withdrawal
- Tolerance
- Assoc diseases
- Continued drinking despite med and social contraindications
- Blackouts and depression
- Acute intoxication and withdrawal
- Alcoholic hallucinations
3
Q
Alcohol use disorder- Dx
A
- CAGE
- Elevated LFTs, carbohydrate deficient transferrin
4
Q
Alcohol use disorder- Tx
A
- Disulfram
- Naltrexone
- Benzos for withdrawal
5
Q
Opioid dependency- Eti
A
- 1.4% prevalence for heroin abuse
- Incidence increasing
- Patients consider themselves more addicted than really are
6
Q
Opioid dependency- Sx
A
- Euphora, drowsiness, needle tracts
- Miosis
- Resp depression, pulm edema
- Withdrawal:
- Craving, perspiration, tremors, temp flashes, increased temp, BP
7
Q
Opioid dependency- Dx
A
- Serum and urine toxicity
8
Q
Opioid dependency- Tx
A
- Methadone
- Clonidine
- Naltraxone to block opioid high
9
Q
Codependency
A
- Enabling of addition
- Focus on help with short term crises rather than long term solution
- Protect addicted individual to their detriment
10
Q
Psychological dependence
A
- Resetting reward regions of brain that lead to negative emotional sx
11
Q
Physiological dependence
A
Dependence on psychoactive substances that provide enjoyable mental effects
12
Q
Tolerance
A
Reduction in response to same amt of drug over tine
13
Q
Early addiction
A
Increased tolerance
- Consume greater quantities, fewer side effects
14
Q
Middle addiction
A
- Purpose no longer for pleasure, prevent pain and misery
- Physical dependence
- Blackouts and impairment
15
Q
Late addiction
A
Toxic effects take toll on body
- Ailments due to abuse
- Destitue, ill, confused
- Physical and psychological problems
