Substance Abuse

  1. Alcohol
    Street name:
    Mode of admin:
    Behavior:
    Affect:
    Physiologic:
    • Street name: Booze, sauce
    • mode of admin: Oral
    • Behavior: Lack of control, sneaking drinks, hiding bottles of alcohol
    • Affect: Hostility, argumentative, tearful, depressed, jealous
    • Physiologic: lack of coordination, slurred speech, flushed face
  2. Alcohol Withdrawal
    6-8 hours:
    6-96 hours:
    3-4 days:

    symptoms:
    • 6-8 hours: irritability, anxiety, insomnia, tremors, tachycardia, htn
    • 6-96 hours: seizures, hallucinations
    • 3-4 days: delirium tremens (DTs), restlessness, sensitivity to light, tremors

    Symptoms: Sweating, pulse rate >100, increased hand tremors, insomnia, N/V, transient visual, tactile or auditory hallucinations or illusions, agitation, anxiety, grand mal seizures.
  3. Alcohol Withdrawal treatment
    • 1. monitor fluid status; IV fluids
    • 2. Administer magnesium sulfate to decrease irritability and prevent seizures
    • 3. Administer Vitamin B1 (thiamine); ETOH inhibits absorption of B vitamins
    • 4. Per order, administer benzodiazepines (valium or librium) to prevent DTs
  4. Barbiturates or sedatives
    Type:
    Street names:
    Mode of admin:
    Behavior:
    Affect:
    Physiologic:
    • Type: Valium, Xanax, Ativan
    • Street names: downers
    • Mode of admin: Oral, IV
    • Behavior: Sedative, lack of coordination
    • Affect: Euphoria, emotional labile
    • Physiologic: drowsiness, sleepy
  5. Barbiturates or sedatives withdrawal
    Symptoms
    • Seizures, tachycardia, altered perceptions, tremors and anxiety
    • *RESPIRATORY DEPRESSION: ETOH + Downers
  6. Amphetamines
    Type:
    Street name:
    Mode of admin:
    Behavior:
    Affect:
    Physiologic:
    • Type: methamphetamine, amphet, dexedrine
    • Street name: Crystal, meth, speed, uppers, pep pill, bennies
    • Mode of admin: oral, injection, IV, smoking
    • Behavior: hyper vigilance, increased energy, rapid speech, decreased appetite
    • Affect: Euphoria, agitation, anxiety, irritability
    • Physiologic: Tachy, arrhythmia, altered respiration, hypertension, headaches, visual disturbance, insomnia
  7. Amphetamines withdrawals
    May occur within a few hours (12 hours) to days, can last 1-2 weeks, cravings, chills, sweat, pain, muscle cramps, funny nose, irritability, diarrhea (flu like symptoms)
  8. Opiods
    Type:
    Street name:
    Mode of admin:
    Behavior:
    Affect:
    Physiologic:
    • Type: Morphine, heroin, codeine, dilaudid, methadone
    • Street name: H, horse, Junk, dollies
    • Mode of admin: Oral, IM, IV, SubQ
    • Behavior: Sedated, slurred speech, motor retardation, psycho motor retardation
    • Affect: Euphoria, agitation, decreased emotional pain, apathy, *out of touch
    • Physiologic:Pinpoint pupils (may be dilated with severe hypoxia), drowsiness, N/V
  9. Opiods Withdrawls
    Excessive need for sleep, fatigue, anhedonia, depression

    *Treatment is Methadone (Synthetic heroin)
  10. Cannabis
    Type:
    Street name:
    Mode of admin:
    Behavior:
    Affect:
    Physiologic:
    • Type: Marijuana, hash
    • Street name: pot, Mary Jane, joint
    • Mode of admin: Smoking, Oral
    • Behavior: Passivity, Sexual arousal
    • Affect: Pleasure that progresses to euphoria, apathy
    • Physiologic: Dry mouth, tachy, dilated pupils, increased appetite, fatigue, impaired sperm count
  11. Cannabis Withdrawls
    Cravings and anxiety
  12. Cocaine
    Type:
    Street name:
    Mode of admin:
    Behavior:
    Affect:
    Physiologic:
    • Type: Cocaine
    • Street name: Coke, crack, blow, snow
    • Mode of admin: Smoking, inhalation, injection, IV
    • Behavior: Hyper vigilance, talkative, increased energy, heightened sexuality, violence
    • Affect: Feelings of well being euphoria followed by depression, anxiety
    • Physiologic: No or subtle symptoms, eventually can lead to insomnia, anorexia, dilated pupils, tachy,  increase in temp, HTN, N/V, weight loss, stuffy nose, runny nose, irritated nasal membranes
  13. Cocaine Withdrawals
    Severe cravings, fatigue, irritability
  14. Cocaine treatment
    • 1. Per order Diazepam, phenobarbital, or Tofanil
    • 2. Per oder, antidepressant (TCAs) may be given due to the depression
    • 3. Per order, beta blocker for HTN and tachycardia
  15. Hallucinogens
    Type:
    Street name:
    Mode of admin:
    Behavior:
    Affect:
    Physiologic:
    • Type: LSD, PCP, Mescaline
    • Street name: Acid, Trip, tab, angel dust
    • Mode of admin: oral, IV, smoking, inhalation
    • Behavior: Inability to perform simple tasks, facial grimacing, muscle rigidity, violent or bizarre behavior
    • Affect: Euphoria, anxiety, emotional liability, impulsiveness, hostility, depression
    • Physiologic:Intense perceptions, sensation of slowed time, tachycardia, HTN, lack of coordination, salivation
  16. Phencyclidine (PCP)
    • 1. Onset of high: 5 mins can last 4-6 hours to 2 days
    • 2. Incredible power and strength
    • 3. Similar symptoms to Schizophrenia
    • 4. Side effects last several weeks
    • depression, fatigue, memory loss, poor impulse control, hallucinations are common
  17. Inhalants (sniffed or inhaled "huffing")
    Examples:
    Causes:
    Side Effects:
    • Examples: gas, paint thinner, glue, air fresheners, canned whip cream
    • Occurs most often in youth
    • Causes: Lightheaded, euphoria, excitement
    • Side effects: Ventricular fibrillation, decreased cardiac output, brain damage, sudden death
  18. Dual diagnosis

    Risk factors:
    Treatment:
    • Risk factors: Poor cooping, heightened stress, economic factors, mental illness stigma
    • Treatment: CBT (life long/chronic)
Author
geoerguera
ID
331270
Card Set
Substance Abuse
Description
psych final
Updated