CMAN 272 EXAM 3 REVIEW QUESTIONS
intoxication means...
effects that occur when someone uses alcohol
OD means...
when someone uses too much (person needs medical help could be in danger)
withdrawal means...
when someone stops using a substance
what does a dual diagnosis mean?
pt has psychiatric and substance abuse disorder (poly substance abuse means abusing
than one substance)
what does a process addiction mean?
(non pharmacologic addiction) an addiction that is involved in any type of process that
has an addictive property (gambling, shopping, sex --> raises dopamine and they have
a hard time stopping even if they are at risk)
what is sequelae dependency?
all the bad things that happen bc of your dependence (physical, social, life
consequences)
what is the cage assessment?
possibility of alcohol dependence and if a person answers in the affirmative to even 1
question then we have to do further assessment
what is the DSM 5 diagnosis of a substance related disorder and addictive disorders?
- cluster of disorders which have cognitive, behavioral, and physical symptoms
secondary to the effects of drug use/misuse/abuse
- psychiatric symptoms may be related to substance use or withdrawal from habitual
substance use
- maladaptive pattern of use for at least 12 months with impairments of role
obligation and physically hazardous behaviors
what is a substance?
a medication or toxin that produces psycho activation and alters cognitive, behavioral,
and affective perceptions
,what is psycho activation?
if someone has more impulsive decision making or is violent or cannot drive and loses
autonomy
what is the definition of addiction?
cluster of substance related disorders which have cognitive behavioral and physical
symptoms secondary to the effects of drug use (difficulty stopping bc of physical or
psychological dependence)
what is the definition of misuse/abuse?
maladaptive pattern of use for at least 12 months with impairments of role obligation
and physically hazardous behaviors
what is the definition of dependence?
pattern of repeated use that leads to clinically significant impairment or distress with 3 or
more symptoms within a 12 month period
what is tolerance?
need for markedly increased alts of a substance to achieve desired effect
what is withdrawal?
maladaptive behavioral change with physiological and cognitive symptoms with
prolonged use
what does CAGE stand for?
C: have you ever felt the need to CUT DOWN on your drinking?
A: have people ever ANNOYED you by mentioning your drinking?
G: have you ever felt bad or GUILTY about your drinking?
E: have you ever had a drink first thing (EYE OPENER) in the morning to steady your
nerves or get rid of a hangover
what are alcohol withdrawal symptoms?
2 or more of the following with reduction or cessation
- hand tremor, insomnia, autonomic hyperactivity (sweating, increased HR, increased
BP), nausea, vomiting, hallucinations, illusions (misinterpretations of environmental
stimuli), psychomotor agitation, anxiety, seizures
what kinds of hallucinations would someone with alcohol withdrawal experience?
tactile or visual
at what BAL do you start feeling intoxicated? what are signs of intoxication at this level?
, 50 mg/dl (.05) [3 alcoholic drinks], impaired judgement, exaggerated behavior, euphoria,
lowered alertness
at what BAL would you get a DUI?
80 mg/dl aka .08 (4 alcoholic drinks)
what are s/s of intoxications at .08 BAL?
poor muscle coordination, altered speech and hearing, difficulty detecting danger,
impaired judgement, poor self control, and decreased reasoning
what is significant about.08 BAL?
legal limit for riding a bike, operating machinery, or driving
what are s/s of intoxication at BAL 100 mg/dL or .1?
5 alcoholic drinks; slurred speech, poor coordination, and slowed thinking
what are s/s of BAL of 150 mg/dL or .15g/dL?
this is about 6 alcoholic drinks; vomiting (unless high tolerance) major loss of balance
(could be trip to ER)
what are s/s of BAL of 200 mg/dL or .2 g/dL?
this is 8-10 alcoholic drinks and there is memory blackouts and N/V
what are s/s of intoxication at 300 mg/dL or .3 g/dL?
more than 10 alcoholic drinks and this is where someone has a reduction of body
temperature, blood pressure, respiratory rate, sleepiness, and amnesia! someone would
be susceptible to temporary death (also risk for respiratory or cardiac problems is more
severe here)
what are s/s of intoxication at 400 mg/dL or .4 g/dL?
impaired vital signs and possible death!!
when does withdrawal for alcohol start?
4-8 hours after the last drink
what medications can be used for alcohol withdrawal?
benzos (tapered) such as ativan, librium, serax, or valium (this is to not cause seizures);
anticonvulsants such as tegretol or depakote; clonidine (suppresses peripheral vascular
response)
what are medications that can be used for alcohol cravings?
intoxication means...
effects that occur when someone uses alcohol
OD means...
when someone uses too much (person needs medical help could be in danger)
withdrawal means...
when someone stops using a substance
what does a dual diagnosis mean?
pt has psychiatric and substance abuse disorder (poly substance abuse means abusing
than one substance)
what does a process addiction mean?
(non pharmacologic addiction) an addiction that is involved in any type of process that
has an addictive property (gambling, shopping, sex --> raises dopamine and they have
a hard time stopping even if they are at risk)
what is sequelae dependency?
all the bad things that happen bc of your dependence (physical, social, life
consequences)
what is the cage assessment?
possibility of alcohol dependence and if a person answers in the affirmative to even 1
question then we have to do further assessment
what is the DSM 5 diagnosis of a substance related disorder and addictive disorders?
- cluster of disorders which have cognitive, behavioral, and physical symptoms
secondary to the effects of drug use/misuse/abuse
- psychiatric symptoms may be related to substance use or withdrawal from habitual
substance use
- maladaptive pattern of use for at least 12 months with impairments of role
obligation and physically hazardous behaviors
what is a substance?
a medication or toxin that produces psycho activation and alters cognitive, behavioral,
and affective perceptions
,what is psycho activation?
if someone has more impulsive decision making or is violent or cannot drive and loses
autonomy
what is the definition of addiction?
cluster of substance related disorders which have cognitive behavioral and physical
symptoms secondary to the effects of drug use (difficulty stopping bc of physical or
psychological dependence)
what is the definition of misuse/abuse?
maladaptive pattern of use for at least 12 months with impairments of role obligation
and physically hazardous behaviors
what is the definition of dependence?
pattern of repeated use that leads to clinically significant impairment or distress with 3 or
more symptoms within a 12 month period
what is tolerance?
need for markedly increased alts of a substance to achieve desired effect
what is withdrawal?
maladaptive behavioral change with physiological and cognitive symptoms with
prolonged use
what does CAGE stand for?
C: have you ever felt the need to CUT DOWN on your drinking?
A: have people ever ANNOYED you by mentioning your drinking?
G: have you ever felt bad or GUILTY about your drinking?
E: have you ever had a drink first thing (EYE OPENER) in the morning to steady your
nerves or get rid of a hangover
what are alcohol withdrawal symptoms?
2 or more of the following with reduction or cessation
- hand tremor, insomnia, autonomic hyperactivity (sweating, increased HR, increased
BP), nausea, vomiting, hallucinations, illusions (misinterpretations of environmental
stimuli), psychomotor agitation, anxiety, seizures
what kinds of hallucinations would someone with alcohol withdrawal experience?
tactile or visual
at what BAL do you start feeling intoxicated? what are signs of intoxication at this level?
, 50 mg/dl (.05) [3 alcoholic drinks], impaired judgement, exaggerated behavior, euphoria,
lowered alertness
at what BAL would you get a DUI?
80 mg/dl aka .08 (4 alcoholic drinks)
what are s/s of intoxications at .08 BAL?
poor muscle coordination, altered speech and hearing, difficulty detecting danger,
impaired judgement, poor self control, and decreased reasoning
what is significant about.08 BAL?
legal limit for riding a bike, operating machinery, or driving
what are s/s of intoxication at BAL 100 mg/dL or .1?
5 alcoholic drinks; slurred speech, poor coordination, and slowed thinking
what are s/s of BAL of 150 mg/dL or .15g/dL?
this is about 6 alcoholic drinks; vomiting (unless high tolerance) major loss of balance
(could be trip to ER)
what are s/s of BAL of 200 mg/dL or .2 g/dL?
this is 8-10 alcoholic drinks and there is memory blackouts and N/V
what are s/s of intoxication at 300 mg/dL or .3 g/dL?
more than 10 alcoholic drinks and this is where someone has a reduction of body
temperature, blood pressure, respiratory rate, sleepiness, and amnesia! someone would
be susceptible to temporary death (also risk for respiratory or cardiac problems is more
severe here)
what are s/s of intoxication at 400 mg/dL or .4 g/dL?
impaired vital signs and possible death!!
when does withdrawal for alcohol start?
4-8 hours after the last drink
what medications can be used for alcohol withdrawal?
benzos (tapered) such as ativan, librium, serax, or valium (this is to not cause seizures);
anticonvulsants such as tegretol or depakote; clonidine (suppresses peripheral vascular
response)
what are medications that can be used for alcohol cravings?
