Week 9: Clients living with substance related disorders and concurrent disorders Flashcards
(45 cards)
Diagnostic criteria for substance use disorder
pattern of 2+ of the following behaviours in a 12 month period:
- impaired control
- social impairment
- risky use
- pharmacological categories
Impaired control diagnostic criteria for substance use disorder
- taking substance in larger amounts or for longer time
- desire to cut down or stop using substance but can’t
- spending a lot of time getting, using, or recovering from use of the substance
- cravings and urges to use
social impairment diagnostic criteria for substance use disorder
- not managing to fulfill obligations at work, home, shcool
- conintuing to use even when it causes interpersonal problems
- giving up important social, occupational, activities because substance use
risky use diagnostic criteria for substance use disorder
- using substance in a dangerous or physically hazardous way
- continuing to use despite knowing it is worsening a medical or psychological problem
pharmacological categories diagnostic criteria for substance use disorder
- tolerance (needing more to get effect)
- withdrawal (bad physical effects when substance use is stopped)
6 C’s of substance use disorder
- loss of control
- cravings
- unable to cut down
- compulsive use
- physical and social consequences
- continued to use despite harm
opioid intoxication (3)
- decreased RR & BP
- drowsy
- impaired attention, memory, judgment
opioid overdose
- respiratory depression
- coma
- shock
- convulsions
opioid withdrawal
- N/V/D
- muscle aches
- sweating
- insomnia
- lacrimation
- agitation
6 signs of opioid overdose
- pinpoint pupils
- unconsciousness
- shallow/slow breathing
- pale skin
- blue lips
- snoring/rasping breath
opioid long-term behavioural effects of opioid dependence (4)
- addiction
- tolerance
- dependence
- mood swings
opioid long-term respiratory effects of opioid dependence (2)
- difficulty breathing
- slowed breathing
opioid long-term extremities effects of opioid dependence
swelling
opioid long-term trauma/infections effects of opioid dependence (2)
- hepatitis
- HIV/AIDS
opioid long-term psychiatric/neuro effects of opioid dependence (6)
- depression
- hallucinations
- confusion/reduced concentration
- drowsiness
- headache
- dizzy
opioid long-term cardiovascular effects of opioid dependence (2)
- arrhythmia
- infection of cardiac lining/valves
opioid long-term gastro/hepatic effects of opioid dependence
- N/V
- constipation
- reduced liver function
opioid long-term dermatologic effects of opioid dependence (2)
- hives/rash
- hyperhidrosis
Alcohol intoxication
- impairment of inhibition and control
- emotional lability
- impaired motor and cognitive functioning
alcohol overdose
- respiratory depression
- coma
- shock
- convulsions
alcohol withdrawal (7)
- N/V
-tremor - auditory/tactile disturbances
- agitation
- autonomic (increase BP & HR)
- seizures
- delirium
Alcohol serious withdrawal symptoms (10% of people)
- fever
- hypertension
- hyperthermia
- increase HR
- seizure
- tremors
alcohol neurologic comorbidities
- wernicke’s encephalopathy (degenerative brain disorder caused by lack of vitamin B1)
- Korsakoff syndrome (memory disorder, also B1)
- mood swings & dementia
alcohol gastrointestinal comorbidities
- esophagitis
- GI bleeding and ulcers
- esophageal varices
- Vomiting
