Week 7 substance use

sedative, hypnotic, and antianxiolytic drugs

barbiturates, non barbiturate hypnotics, anti anxiety meds (relieve aggression and dependence risk)

Stimulants

amphetamines, non amphetamine stimulants, cocaine, caffeine, nicotine

inhalants info

dont need to taper or treatment, develope a tolerance and cravings

Alcohol withdrawal occurs

4-6 hours after last drink

Stimulants withdrawal

anxiety, depression, irritability, cravings, fatigue, insomnia or hypersomnia, paranoid, suicidal ideation, poor concentration, psychomotor retardation, increased appetite, headache insomnia

stimulant withdrawal occurs and high doses can cause

within 2-4 days and seizures, may include delirium after 1 week

cannabis intoxication occurs

immediately and lasts about 3 hours, oral is longer lasting

inhalants intoxication

belligerence, apathy, dizziness, slurred speech, lethargy, depressed reflexes, tremors, blurred vision, euphoria, delusions, hallucinations, create fear, LOC

inhalant intoxication occurs

within 5 minutes and last 60-90 mins

opioid withdrawal

piloerection, yawning, rhinorrhea, muscle spasm, abdominal cramps, NVD, bone/muscle pain, anxiety

opioid withdrawal occurs

within 6-8 hours

sedative, hypnotic, and antianxiolytic drugs withdrawal

NV, malaise, tachycardia, sweating, anxiety, irritability, orthostatic hypotension, insomnia, seizures

Korsakoff psychosis

thiamine deficiency in chronic alcoholics causes amnesia, confusion

portal hypertension

Increased blood pressure in liver's portal vein

hepatic encephalopathy

liver cant filter our ammonia (mainly alcohol)

leukopenia

decreased wbc from alcohol use

thombocytopenia

decreased platelet, bleeding risk