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Compulsive drug craving, seeking use that persists even in the face of negative consequences? -
Addiction
-Dopamine is the neurotransmitter related to addiction. Stimulants, methamphetamine,
adderall can be addictive.
Maladaptive pattern of substance use with tolerance, withdraw, and persistent desire to obtain?
- Substance dependence
Will do anything to obtain. Use CAGE questionaire for assessing alcohol dependence.
C-Cut down
A-Annoyed by others
G-Guilty about drinking
E-"Eye-Opener"
Assessment tool for withdrawal is CIWA, will tell us if they need medication, benzo, valium or
ativan to help with withdrawal. S/S: shaking, anxiety, tremors. CIWA gives a score and
depending on that score if medication is needed.
Educating a male patient on low-risk drinking? - No more than 4 drinks on one occasion
or 14 drinks per week.
-For females, no more than 3 drinks on one occasion or 7 drinks per week.
Deficiency leading to decrease mental functioning, weakness, ataxia, and nystagmus? -
Thiamine B-1
Seen a lot in alcoholics. With low thiamine increases risk/factor, withdrawal Wernicke-Korskoff
encephalopathy.
Patient presents restless, increased HR, BP, and dilated pupils, intoxication of what substance? -
Stimulants
Stimulated, bug eyed, awake, big eyes. i.e. amphetamine, PCP, LSD.
On the opposite end of the spectrum, with opioids, eyes will be pinpoint or small constricted
pupils, v/s will be decreased BP, HR.