Flashcards in Substance Abuse II Deck (83):
What are the criteria for caffeine use disorder?
No such thing
What is considered "high dose" caffeine?
What are the criteria for caffeine intoxication? (non -obvious)? How many are needed?
What are the criteria for caffeine withdrawal? How many within a 24 hours timeframe are needed to diganose?
At least 3 within 24 hours:
What is the major issue with Li and Caffeine use?
Diuretic aspect of caffeine may alter [Li]
What is the most widely used illicit substance?
What is the age range that has the highest marijuana use?
True or false: regular users of marijuana had concurrent metal disorders
True or false: most individuals who use cannabis report that they use it solely for pleasure
False--cope with mood, sleep, pain etc
What are the four criteria for marijuana intoxication? How many are needed? Within what time frame?
2 within 2 hours:
What is "K2?
Synthetic cannabinoid--sprayed onto herbal/plant matter
What are the major effects of synthetic cannabinoid?
How reliable are tox screens for K2?
What are the physical effects of K2?
What are the s/sx of cannabis withdrawal?
What are the major phencyclidines?
What are the s/sx of phencyclidine (PCP) use? (5)
What are the complications that can result from phencyclidine use?
What is MDMA?
What are the eye findings with phencyclidine use?
What are the muscle findings of phencyclidine?
What are the CV effects of Phencyclidine intoxication?
How mayn diagnostic criteria are needed, and in what timeframe, for phencyclidine intoxication?
Within 1 hour, at least 2
What are the ocular s/sx of hallucinogenic intoxication?
True or false: there is no withdrawal with inhalant use
What are the general features of inhalant intoxication?
What are the the ocular findings of inhalant use?
What are the motor findings of inhalant intoxication? (4)
What is the common cause of death with inhalant use?
What is the general MOA of opioids?
Mu-opioid receptor agonist
What happens after the euphoric-Perceptual motor phase with opioid use?
Apathy and dysphoria
What happens to motor function with opioid intoxication?
Agitation or retardation
What are the diagnostic criteria for opioid intoxication? (4)
Pupillary constriction + 1 or more of:
-Impairment in attention or memory
How many criteria are needed to diagnose opioid withdrawal? In what timeframe?
3 or more within minutes to days
What are the ocular findings with opioid withdrawal?
What are the general s/sx of opioid withdrawal?
What are the ANS findings of opioid withdrawal? (3)
-Lacrimation / rhinorrhea
What are the GI findings of opioid withdrawal?
What is the name of the diagnostic algorithm used to diagnose opioid withdrawal?
What are the three major medication used in opioid withdrawal?
What is the MOA of methadone?
Long acting synthetic opioid agonist
What s the MOA of buprenorphine?
Synthetic partial agonist of opioid receptors
What is the MOA of naltrexone?
Why give buprenorphine and naloxone as a combination?
Naloxone is not enterically absorbed, so if used PO, then the buprenorphine will give only a small high. If injected, then naloxone will cause withdrawal symptoms
True or false: craving is not typical with Sedatives / hypnotics / Anxiolytic use
Sedatives / hypnotics / Anxiolytic use appears very similar to what other substance?
True or false: if you experience withdrawal from prescribed use of Sedatives / hypnotics / Anxiolytic, then you are diagnosed with use disorder
What are the s/sx of Sedatives / hypnotics / Anxiolytic intoxication?
-Inappropriate or sexual behavior
What are the motor findings of Sedatives / hypnotics / Anxiolytic use?
What are the ocular findings of Sedatives / hypnotics / Anxiolytic intoxication?
How many diagnostic criteria are needed for Sedatives / hypnotics / Anxiolytic intoxication?
1 or more
What are the cognitive effects of Sedatives / hypnotics / Anxiolytic intoxication?
What is the reversal agent for benzos? MOA?
How many diagnostic criteria are needed to diagnose anxiolytic/sedative withdrawal? In what timeframe?
2 or more within hour to days
What are the nervous system withdrawal symptoms of anxiolytic withdrawal?
True or false: reality testing is intact with withdrawal from anxiolytic use
What are the results of long term use of stimulants? (4)
What are the non-obvious s/sx of stimulant use intoxication?
-Stereotyped and repetitive behavior
-Tension and anxiety
What are the pupillary findings of stimulant use?
What are the CV criteria for stimulant intoxication?
-Tachycardia or bradycardia
-HTN or hypotension
What are the psychomotor criteria for stimulant intoxication?
Retardation or agitation
What are the GI criteria for stimulant intoxication?
NDMA is structurally similar to what other illicit drug?
What are the CNS complications from cocaine use?
What is the major muscular complication from cocaine use?
What are the GI complications from cocaine use?
What are the OB complications from cocaine use?
True or false: cocaine can cause DKA
What are the diagnostic criteria for stimulant withdrawal (1 + 5)
Dysphoric mood +
True or false: there is NO tobacco intoxication
What are the criteria for tobacco use disorder?
What are some of the intranasal complications from cocaine use?
-Necrosis and perforation of the nasal septum
What is the timeframe and symptoms amount needed to diagnose tobacco withdrawal?
Within 24 hours
4 or more
What happens to appetite with tobacco withdrawal?
What happens to mood with tobacco withdrawal?
Depression / dysphoria
What is the first step in the treatment of withdrawal? What are the limitations of this?
-Does not address social/psych concerns
What is the hopsital model for short term residential rehab?
- 3-6 week hospital inpt tratment
-self help group
What is the long term residental model for rehab?
What are the focuses of outpatient rehab programs?
-Intensive day treatment
What are the focuses of individual rehab counseling?
-Areas of impaired functioning
-Short term behavioral goals
What is the cost for alcoholics anonymous?
What are the three keys to alcoholics anonymous?
-12 step program