SUD FLSS
- Symptoms include intoxication of CNS depressants and stimulants
- Remember withdrawal from alcohol and benzodiazepines can kill you
from complications related to unrelenting seizures
- After regular prolonged use do NOT stop abruptly
- Examples of benzodiazepines include those ending in pam alprazolam
• Diazepam lorazepam
- Lorazepam is frequently used to treat alcohol withdrawal syndrome
during medical detox. Benzos are also used to treat benzodiazepine
withdrawal
- Benzos help prevents acute alcohol withdrawal from progressing to the
more serious form of withdrawal delirium tremens.
WITHDRAWAL
- Withdrawal is the oppositive of the effect
- Alcohol is CNS depressant so withdrawal would include hypertension,
tachycardia, diaphoresis, anxiety, tremors, etc.
- After prolonged/heavy use symptoms of acute alcohol will begin in 4 to
12 hours after the last intake of alcohol. So, assess time of last drink
- Opiate intoxication CNS depression pinpoint pupils, sedation resp
depression
- Opiate withdrawal sweating lacrimation rhinorrhea yawning dilated
pupils, fever
EFFECTS OF LONG-TERM USE
- Remember to review Wernicke Korsakoff Syndrome
• Psychosis delirium confusion ataxic gait etc
• Treatment includes Thiamine injections also known as Vitamin B1
get onboard ASAP
ALCOHOL USE DISORDER
- Remember after 100 mg/dl intoxication begins with CNS effects
causing impaired judgement motor difficulties slurred speech to name
a few examples
- Alcohol and benzos are CNS depressants Too much intake can result in
CNS depression Opioids are CNS Depressants
- Dependence and tolerance can develop. It takes more to achieve the
pleasurable effects except with opioids the potential for respiratory
depression does not diminish
- Naloxone is the medication that reverses resp depression Narcotic
antagonist trade name Narcan
COMMON DEFENSE MECHANISMS
- Denial I don’t have a problem
- Rationalization I wouldn’t need to drink if my boss wasn’t such a jerk
- Symptoms include intoxication of CNS depressants and stimulants
- Remember withdrawal from alcohol and benzodiazepines can kill you
from complications related to unrelenting seizures
- After regular prolonged use do NOT stop abruptly
- Examples of benzodiazepines include those ending in pam alprazolam
• Diazepam lorazepam
- Lorazepam is frequently used to treat alcohol withdrawal syndrome
during medical detox. Benzos are also used to treat benzodiazepine
withdrawal
- Benzos help prevents acute alcohol withdrawal from progressing to the
more serious form of withdrawal delirium tremens.
WITHDRAWAL
- Withdrawal is the oppositive of the effect
- Alcohol is CNS depressant so withdrawal would include hypertension,
tachycardia, diaphoresis, anxiety, tremors, etc.
- After prolonged/heavy use symptoms of acute alcohol will begin in 4 to
12 hours after the last intake of alcohol. So, assess time of last drink
- Opiate intoxication CNS depression pinpoint pupils, sedation resp
depression
- Opiate withdrawal sweating lacrimation rhinorrhea yawning dilated
pupils, fever
EFFECTS OF LONG-TERM USE
- Remember to review Wernicke Korsakoff Syndrome
• Psychosis delirium confusion ataxic gait etc
• Treatment includes Thiamine injections also known as Vitamin B1
get onboard ASAP
ALCOHOL USE DISORDER
- Remember after 100 mg/dl intoxication begins with CNS effects
causing impaired judgement motor difficulties slurred speech to name
a few examples
- Alcohol and benzos are CNS depressants Too much intake can result in
CNS depression Opioids are CNS Depressants
- Dependence and tolerance can develop. It takes more to achieve the
pleasurable effects except with opioids the potential for respiratory
depression does not diminish
- Naloxone is the medication that reverses resp depression Narcotic
antagonist trade name Narcan
COMMON DEFENSE MECHANISMS
- Denial I don’t have a problem
- Rationalization I wouldn’t need to drink if my boss wasn’t such a jerk
