Chapter 31 substance use disorder

First step in Alcoholics Anonymous?

Admit being powerless over alcohol

How long does Valium withdrawal last?

Up to 2 weeks

Why do patients avoid Alcoholics Anonymous?

Public admission of addiction

Key symptom of opioid withdrawal?

Bone pain

Opioid withdrawal sign?

Runny nose

Which drug withdrawal causes hallucinations?

CNS depressants

Methamphetamine vs cocaine difference?

Meth high lasts 8-24 hours

Treatment for barbiturate withdrawal?

Hospital admission for observation

Best psychological treatment for alcohol use disorder?

Alcoholics Anonymous

Best support action after treatment program?

Reinforce relapse prevention plan

Acetaminophen + alcohol teaching?

Can cause liver damage

BAC 0.20 effect on parietal lobe?

Slurred speech

Neurotransmitter causing meth addiction?

Dopamine

Best test for recent drug use?

Urinalysis

Contemplation stage behavior?

Considers pros and cons of change

Danger of inhalant use?

Asphyxiation

Purpose of group therapy?

Break denial

Marijuana detection in urine?

3 days to 4 weeks

Chronic cocaine use sign?

Feeling bugs crawling on skin

Alcohol metabolism rate?

1 drink per hour

Milieu management actions?

Set limits; prevent suicide; ensure drug-free environment; therapeutic confrontation

Medications for alcohol withdrawal?

Thiamine, diazepam, lorazepam, chlordiazepoxide

Alcohol intoxication CNS effects?

Loud talking, blackouts, slurred speech, short attention span

Signs of substance use disorder?

Tremors, flushed face, slurred speech, red eyes

CAGE questions include?

Cut down, annoyed, guilty, eye-opener

Wernicke-Korsakoff syndrome signs?

Amnesia, memory loss, confabulation, peripheral neuropathy

Disulfiram + alcohol reaction?

Tremors, palpitations, hypotension, headache

Naltrexone teaching?

Take daily; reduces cravings; start after 6-10 days opioid-free

Alcohol use disorder physical effects?

Hypertension, muscle aches, vision loss, enlarged left ventricle