Substance Use Disorders

at least 2 criterion within 12 months

time and number for substance use disorders?

impaired control, social impairment, risky use, pharmacological criteria

criteria of substance use disorders fall into what categories?

Impaired control

larger amounts or over longer period of time than originally intended

persistent desire to cut back

great deal of time spent obtaining, using or recovering from substance

craving

social impairment

recurrent use that results in failure to fulfill major obligations

use continues despite having persistent or recurrent social/interpersonal problems due to/exacerbated by use

social/occupational/rec activities are given up or reduced because of use

risky use

recurrent substance use in situations when it is physically hazardous

continued use despite knowing they are having a physical or psych problem either caused or exacerbated by the substance

need for markedly increased amounts

markedly diminished effect with continue use of the same amount of substance

tolerance is defined as?

recent

For intoxication always _____ ingestion of named substance

inappropriate sexual or aggressive behavior, mood lability, impaired judgement

behavior changes of alcohol intoxication?

slurred speech

incoordination

unsteady gait

nystagmus

impaired attention/memory

stupor/coma

1 or more of the following sx for alcohol intoxication?

heavy, prolonged

for alcohol withdrawal there was cessation of use that was _____ and ______

2 or more

how many sx needed for alcohol withdrawal?

autonomic hyperactivity

increased hand tremor

insomnia

N/V

transient visual, tactile or auditory hallucinations

psychomotor agitation

anxiety

generalized seizure

sx of alcohol withdrawal?

restlessness

nervousness

excitement

insomnia

flushed face

diuresis

GI disturbance

muscle twitching

rambling flow or thought/speech

tachycardia/cardiac arrhythmia

periods of inexhaustability

psychomotor agitation

sx of caffeine intoxication?

5 or more

how many sx needed for caffiene intoxication?

caffeine withdrawal

prolonged daily use of caffeine

3 or more

how many sx needed for caffeine withdrawal?

headache

marked fatigue or drowsiness

dysphoric mood/depressed mood/irritability

difficulty concentrating

flu-like sx

sx for caffeine withdrawal?

impaired coordination, euphoria, anxiety, sensation of slowed time, social W/D, impaired judgement

behavior changes of cannabis intoxication?

2 or more within 2 hours of use

how many sx for cannabis intoxication?

conjunctival injection

increased appetite

dry mouth

tachycardia

sx of cannabis intoxication?

3 or more within 1 week of cessation

cannabis withdrawal time frame and sx needed?

irritability/anger/aggression

nervousness/anxiety

sleep difficulty

decreased appetite/weight loss

restlessness

depressed mood

at least 1 of the following: abd pain, shakiness/tremors, sweating, fever, chills, headache

sx of cannabis withdrawal?

belligerence

assaultiveness

impulsiveness

unpredictability

impaired judgement

examples of change in behavior with phencyclidine intoxication?

vertical or hotizontal nystagmus

HTN/tachy

numbness/dec response to pain

ataxia

dysarthria

muscle rigidity

seizure/coma

hyperacusis

sx of PCP intoxication within 1 hour of use?

marked anxiety/depression

ideas of reference

losing one’s mind

paranoid ideation

impaired jugement

perceptual changes

hallucinogen change in behavior?

2 or more

how many sx for hallucinogen intoxiatoin

pupillary dilation

tachy

sweating

palpitations

blurred vision

tremors

incoordinaation

sx for hallucinogen intoxication?

hallucinogen persisting perception disorder

following cessation of use, the re-experiencing of one or more of the perceptual sx that were experienced while intoxicated with the hallucaintoin

2 or more

How many sx needed for inhalant intoxication

dizzy

incoordination

unsteady gait

depressed reflexes

muscle weakness

stupor/coma

nystagmus

slurred speech

lethargy

tremor

change in vision

euphoria

sx of inhalant intoxication?

initial euphoria followed by apathy

dysphoria

psychomotor change

impaired judgement

behavior changes of opioid intoxication?

pupillary constriction and 1 or more

how many sx needed for opioid intoxication

pupillary constriction

drowsiness or coma

slurred speech

impairment in attention or memory

sx of opioid intoxicatoin?

opioid withdrawal

cessation or reduction of use OR administration of opioid antagonist after use

3 or more

how many sx needed for opioid withdrawal

dysphoric mood

N/V

muscle aches

lacrimation/rhinorrhea

pupillary dilation, piloerection, or sweating

diarrhea

yawning

fever

insomnia

opioid withdrawal sx?

inappropriate sexual or aggressive behavior

mood lability

impaired judgement

change in behavior of sedative/hypnotic/anxiolytics intoxication?

1 or more

how many sx needed for sedative/hypnotic/anxiolytics intoxication?

slurred speech

incoordination

unsteady gait

nystagmus

impaired cognitiion

stupor/coma

sx of sedative/hypnotic/anxiolytics intoxication?

2 or more within hours to days of cessation

time frame and sx needed for sedative/hypnotic/anxiolytics withdrawal?

autonomic hyperactivity

hand tremor

insomnia

N/V

transient visual/tactile/auditory hallucination

psychomotor agitation

anxiety

grand mal seizures

sx of sedative/hypnotic/anxiolytics with drawal?

2 or more

how many sx needed for stimulant intoxication?

tachy/brady

hi/lo BP

N/V

muscle weakness, resp depression, chest pain or arrhythmia

dilated pupils

perspiration/chills

weight loss

psychomotor changes

confusion, seizure, dyskinesia, dystonia or coma

stimulant intoxication sx?

euphoria, affective blunting, change in sociability, hypervigilance, interpersonal sensitivity, anxiety/anger, impaired judgement

behavior change for stimulant intoxication?

2 or more

how many sx for stimulant withdrawal?

fatigue

vivid, unpleasant dreams

insomnia or hypersomnia

increased appetite

psychomotor changes

sx for stimulant withdrawal?

no

is there an intoxication criteria for tobacco?

within 24 hours 4 or more

time frame and sx needed for tobacco withdrawal?

irritability, frustration, anger

anxiety

difficulty concentrating

increased appetite

restlessness

depressed mood

insomnia

tobacco withdrawal sx?