NSG-3450 EXAM 3 WITH QUESTIONS AND
VERIFIED ANSWERS
a pathological use of a substance that leads to a disorder
Substance use disorder
When people are in the process of using a substance to excess, they are
experiencing _______
Intoxication
Occurs when a person no longer responds to the drug in the way that the person
initially responded
Tolerance
set of physiological symptoms that occur when a person stops using a substance
withdrawal
What symptoms lead to an official substance use disorder?
1. impaired control of said substance
2. Social impairment because of the substance
3. Risky use
4. Physical effects resulting from the substance
High potential for abuse
No medical use
Heroine
LSD
Schedule I
High potential for abuse
,Only be available by prescription
Demerol for cancer pain
Ritalin
Schedule 2
Low to moderate for potential abuse
Testosterone
Only available by prescription
Tylenol with codeine
Schedule 3
Xanax
Only by prescription
Low potential abuse
Ativan
Schedule 4
Limited use amount
Robitussin
Schedule 5
Medical comorbidity
Diabetes
Hep C
Psoriasis
40-60% of substance abuse disorders can be _________
Inherited
,People with too little neurotransmitters or neurotransmitter antagonism can be
vulnerable to _________
Substance abuse
Caffeine intoxication
Characterized by five or more: restlessness, nervousness, insomnia, flushed face,
diuresis, gastrointestinal disturbance, muscle twitching, rambling speech, agitation,
periods of inexhaustibility, and tachycardia. Differentiated from anxiety disorder by
diuresis (excessive urination). There is no use disorder in caffeine-related disorders
More than 250mg a day
Caffeine overdose
Mania, depression, disorientation, delusions, hallucinations, psychosis, seizures,
death (rare)
Cardiac arrhythmia
Respiratory failure
Fever
Treatment: Support, GI flush
Caffeine withdrawal
Involves three or more: headache, fatigue/drowsiness, dysphoric mood or
irritability, difficulty concentrating, and flulike symptoms.
Nausea and vomiting
12-24 hours after last dose
Usually resolves in a week
Cannabis Intoxication
Characterized by behavioural or psychological changes and 2 or more: conjunctival
injection (redness of the eye), increased appetite, dry mouth, and tachycardia
, Depersonalization and derealization
Sometimes hallucinations
Cannabis Withdrawal
Characterized by three or more: irritability or aggression, nervousness or anxiety,
sleep difficulty, decreased appetite or weight loss, restlessness, depressed mood or
physical symptoms, disturbed dreams.
Headache, abdominal pain, sweating, discomfort
Within 1 week of cessation
Adolescence may be hospitalized (rehab) for cessation (rare)
Hallucinogenic intoxication
Psychological and behavioral changes
Paranoia, impaired judgment, intensification of perceptions, depersonalization, and
derealization, illusions.
Pupils dilated, incoordination, tachycardia, sweating, tremors
VERIFIED ANSWERS
a pathological use of a substance that leads to a disorder
Substance use disorder
When people are in the process of using a substance to excess, they are
experiencing _______
Intoxication
Occurs when a person no longer responds to the drug in the way that the person
initially responded
Tolerance
set of physiological symptoms that occur when a person stops using a substance
withdrawal
What symptoms lead to an official substance use disorder?
1. impaired control of said substance
2. Social impairment because of the substance
3. Risky use
4. Physical effects resulting from the substance
High potential for abuse
No medical use
Heroine
LSD
Schedule I
High potential for abuse
,Only be available by prescription
Demerol for cancer pain
Ritalin
Schedule 2
Low to moderate for potential abuse
Testosterone
Only available by prescription
Tylenol with codeine
Schedule 3
Xanax
Only by prescription
Low potential abuse
Ativan
Schedule 4
Limited use amount
Robitussin
Schedule 5
Medical comorbidity
Diabetes
Hep C
Psoriasis
40-60% of substance abuse disorders can be _________
Inherited
,People with too little neurotransmitters or neurotransmitter antagonism can be
vulnerable to _________
Substance abuse
Caffeine intoxication
Characterized by five or more: restlessness, nervousness, insomnia, flushed face,
diuresis, gastrointestinal disturbance, muscle twitching, rambling speech, agitation,
periods of inexhaustibility, and tachycardia. Differentiated from anxiety disorder by
diuresis (excessive urination). There is no use disorder in caffeine-related disorders
More than 250mg a day
Caffeine overdose
Mania, depression, disorientation, delusions, hallucinations, psychosis, seizures,
death (rare)
Cardiac arrhythmia
Respiratory failure
Fever
Treatment: Support, GI flush
Caffeine withdrawal
Involves three or more: headache, fatigue/drowsiness, dysphoric mood or
irritability, difficulty concentrating, and flulike symptoms.
Nausea and vomiting
12-24 hours after last dose
Usually resolves in a week
Cannabis Intoxication
Characterized by behavioural or psychological changes and 2 or more: conjunctival
injection (redness of the eye), increased appetite, dry mouth, and tachycardia
, Depersonalization and derealization
Sometimes hallucinations
Cannabis Withdrawal
Characterized by three or more: irritability or aggression, nervousness or anxiety,
sleep difficulty, decreased appetite or weight loss, restlessness, depressed mood or
physical symptoms, disturbed dreams.
Headache, abdominal pain, sweating, discomfort
Within 1 week of cessation
Adolescence may be hospitalized (rehab) for cessation (rare)
Hallucinogenic intoxication
Psychological and behavioral changes
Paranoia, impaired judgment, intensification of perceptions, depersonalization, and
derealization, illusions.
Pupils dilated, incoordination, tachycardia, sweating, tremors
