Substances
Alcohol- class of drug and effects
What is depressant. Effects- slurred speech, incoordination, drowsiness, decreased B/P
Bob started drinking last month, drinks five days a week, drinks while he is driving, and gets arrested twice. Does he meet criteria for alcohol use disorder.
What is no-not exhibited for a 12-month period.
Withdrawal symptoms....
•Panic
•muscle aches
•nausea/vomiting
•lacrimation or rhinorrhea
•pupillary dilation
•chills
Symptoms of opioid withdrawal.
Hallucinogen induced disorder treatment.
•Low stimuli… minimal light, sound, activity
•Attempt to “talk down” patient
•Stay with the patient
•Speak slowly and clearly in low voice
•Give Diazepam for anxiety
Examples of opioids.
What is heroin, opium, codeine, hydromorphone, hydrocodone, oxycodone
Chronic alcohol abuse can lead to this...identify the symptoms
What is
1. Alcoholic hepatitis (enlarged, tender liver; nausea and vomiting; lethargy; anorexia; elevated white blood cell count; fever; and jaundice),
2. cirrhosis- end-stage liver disease
3. pancreatitis (constant/ severe epigastric pain; nausea and vomiting; and abdominal distention)
4. Leukopenia/ Thrombocytopenia
Molly craves alcohol, experiences shaking hands, GI problems, sweating and pains in his stomach.
What is withdrawal.
Symptoms of intoxication...
•euphoria, apathy, dysphoria, psychomotor agitation or retardation, impaired judgment, Constricted pupils, ↓ respirations, ↓ BP, Slurred speech
•Severe intoxication...
•respiratory depression, coma, and death.
What is opioid intoxication
Treatment for an opioid overdose.
What is administer naloxone, maintain airway, IV fluids, monitor VS....
Examples of stimulants
•Amphetamines: Ecstasy, methamphetamine
•Synthetic stimulants: Bath salts
•Methylphenidate (Ritalin)
•Cocaine: (crack)
•Caffeine
•Nicotine
At high doses opioids induce this....
What is hypotension and respiratory depression
Henry does not feel any of the effects of alcohol, even in high amounts. What is this called?
What is tolerance
Withdrawal symptoms..
•Irritability, anger, or aggression
•Nervousness, restlessness, or anxiety
•Sleep difficulty
•Decreased appetite or weight loss
•Depressed mood
What is cannabis.
Name 2 drugs to reduce or eliminate cravings.
What is Naltrexone and Acomprosate.
This substance can be smoked or ingested and is the most common illicit drug in the U.S.
What is Marijuana.
Minimum BAC for intoxication...
What is 0.08%
What are 2 questions you can ask to assess someone's substance use?
What is...
1. In the last year, have you ever drunk or used drugs more than you meant to?
2. Have you felt you wanted or needed to cut down on your drinking or drug use in the last year?
Intoxication symptoms...
•euphoria
•impaired judgment
•confusion
•dilated pupils
•tachycardia
•HTN
What is amphetamine and cocaine intoxication.
Disulfram is used for this. What happens if mixed with a substance?
What is treatment of alcohol use disorder. Person must be sober for a few months.
When mixed with alcohol symptoms include: drop in BP, N/V, facial flushing, pounding in chest, and potentially death.
It takes 14 days for the effects of the drug to leave the body
2 examples of hallucinogens
•Naturally occurring hallucinogens: Mescaline, Psilocybin, salvia
•Synthetic compounds: LSD, ketamine, MDA, PCP
What are DTs? When do they peak? What are symptoms of DTs?
What is delirium tremens.
Peak 2-3 days after cessation
Hallucinations, delusions, agitation, fever, perceptual and autonomic disturbances; severe disturbance in sensorium; fluctuating levels of consciousness
Withdrawal symptoms...
Dysphoria
•Fatigue
•Sleep disturbances
•Cravings
•Suicidal ideation
What is amphetamine & cocaine withdrawal.
DAILY DOUBLE!!!!!!!
Identify 3 drugs for long term management for opioid use disorder. What do they do?
Methadone- blocks cravings
Buprenorphine- blocks signs and symptoms of withdrawal
Naltrexone- blocks euphoric effects of opioids