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53 Cards in this Set
- Front
- Back
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What is INTOXICATION?
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A reversible nondependent experience with a substance that produces impairment.
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What is Psychological dependence?
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Habituation - the continuous or intermittent craving for a substance to avoid a dysphoric state.
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When trying to diagnose a substance disorder, what must you differentiate?
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Whether it's Abuse or Dependence
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What are the 4 criteria for Substance Abuse? (have to have at least 3 in 12 month period)
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1. Recurrent use results in failure to fulfill obligations
2. Use is in physically hazardous situations 3. Recurrent legal problems related to substance use 4. Continues despite problems |
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What are the 7 criteria for Substance DEPENDENCE? (have to have at least 3 in 12 months)
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1. Tolerance (need more & more)
2. Withdrawal 3. Use more to avoid withdrawal 4. Desire/fail to cut down use 5. Spend much time doing it 6. Gave up important activities due to using 7. Continue despite problems |
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If you do diagnose some one as Substance Dependent, what must be specified?
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Whether it's with physiological dependence (tolerance/withdrawal) or without.
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What is Substance withdrawal defined as?
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The development of substance-specific symptoms due to stopping use that has been long and heavy
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When can Remission specifiers be used in diagnosing a patient?
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When the substance has not been used and no criteria for abuse or dependence have been met for at least one month.
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Can you say a person is in remission if they are in a controlled environment or on an agonist?
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no
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What is Early full remission?
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No criteria have been met for at least a month, but not a full year yet.
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What is Early partial remission?
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One or more, but not 3 criteria have been met in over a month but not a year.
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What is Sustained partial remission?
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Having met a couple criteria, but not 3, for a year or more
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What is Sustained full remission?
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Not having met any criteria for over a year
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What % of the US population has a substance related disorder?
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10%
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What personality disorder may precede alcohol dependence in men?
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Antisocial personality disorder
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What is INTOXICATION?
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A reversible nondependent experience with a substance that produces impairment.
|
|
|
What is Psychological dependence?
|
Habituation - the continuous or intermittent craving for a substance to avoid a dysphoric state.
|
|
|
When trying to diagnose a substance disorder, what must you differentiate?
|
Whether it's Abuse or Dependence
|
|
|
What are the 4 criteria for Substance Abuse? (have to have at least 3 in 12 month period)
|
1. Recurrent use results in failure to fulfill obligations
2. Use is in physically hazardous situations 3. Recurrent legal problems related to substance use 4. Continues despite problems |
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What are the 7 criteria for Substance DEPENDENCE? (have to have at least 3 in 12 months)
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1. Tolerance (need more & more)
2. Withdrawal 3. Use more to avoid withdrawal 4. Desire/fail to cut down use 5. Spend much time doing it 6. Gave up important activities due to using 7. Continue despite problems |
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If you do diagnose some one as Substance Dependent, what must be specified?
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Whether it's with physiological dependence (tolerance/withdrawal) or without.
|
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What is Substance withdrawal defined as?
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The development of substance-specific symptoms due to stopping use that has been long and heavy
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When can Remission specifiers be used in diagnosing a patient?
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When the substance has not been used and no criteria for abuse or dependence have been met for at least one month.
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Can you say a person is in remission if they are in a controlled environment or on an agonist?
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no
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What is Early full remission?
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No criteria have been met for at least a month, but not a full year yet.
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What is Early partial remission?
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One or more, but not 3 criteria have been met in over a month but not a year.
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What is Sustained partial remission?
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Having met a couple criteria, but not 3, for a year or more
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What is Sustained full remission?
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Not having met any criteria for over a year
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What % of the US population has a substance related disorder?
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10%
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What personality disorder may precede alcohol dependence in men?
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Antisocial personality disorder
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What mood disorders make women more prone to alcoholism?
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-Major depressive disorder
-Bipolar I disorder |
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Why do folks with bipolar use alcohol?
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To self medicate manic episodes
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What % of alcoholics commit suicide?
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10-15%
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What are 2 lab tests specific for alcoholism?
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-MCV (high)
-GGT |
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What is the behavioral effect of alcohol?
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Depressant
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What drugs cross react with alcohol and are used in treating withdrawal?
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Benzodiazepines
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What are some commonly used benzodiazepines to treat alcoholism?
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-Librium
-Diazepam (valium) -Lorazepam -Tegretol (carbamezapine) |
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What are the classic signs of alcohol withdrawal?
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-Tremor
-Seizures -Autonomic hyperactivity -Hypertension |
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What is the worst form of alcohol withdrawal?
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Withdrawal delirium
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Why is withdrawal delirium so bad?
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It can result in death
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What is important to remember about the dietary requirement of alcoholics?
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They need vitamin B12
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What % of the US population has used alcohol at least once?
What % of men are alcoholics? What % of women are alcoholics? |
90% tried it once
10% men 3-5% women |
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What nationality has highest % of drinkers? Highest abstention rate?
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Highest drinkers are jews, but they're lowest dependents
Highest abstainers are irish, but they have severe EtOH problems |
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What is a normal low dose level of blood alcohol?
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20-30 mg/dl
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What is a high dose of alcohol at which nystgmus and blackouts occur?
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200-300 mg/dl
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What happens at blood alcohol levels above 300 mg/dL?
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Impaired vital signs and possible death.
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What enzyme converts alcohol in the liver to acetaldehyde?
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Alcohol dehydrogenase
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Does alcohol help sleeping?
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no it decreases REM stage 4 sleep
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What causes peripheral neuropathy in alcoholics?
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Vitamin deficits and direct effects of the alcohol
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What happens to the brain in alcoholism?
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The cerebellum degenerates
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In what four personality disorders are alcoholism overrepresented?
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1. Antisocial personality disorder
2. Schizophrenia 3. Bipolar disorder 4. Anxiety disorders |
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If a person dies due to alcoholism what is the average age of death?
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60
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Once a person meets criteria for alcohol dependence what are the chances of being able to drink under control?
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Very low
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