Substance Use Disorder - Significant impairment clinically and functionally (includes
health problems, disability, failure to meet responsibilities at work, school, home.)
Cannabis Use Disorder - -Drug effects: alteration of senses, short term memory
impairment.
-Long-term effects: pulmonary, possible cognitive changes.
-Limited benefits: MS, glaucoma, chemo SE, epilepsy, Crohn disease.
Nicotine replacement drugs - Tobacco Use Disorder Drug-Assisted Treatment:
-Gums, patches, spray, inhaler, lozenge
-Relief of withdrawal symptoms
Buproprion - Tobacco Use Disorder Drug-Assisted Treatment:
-Antidepressant that increases dopamine and norepinephrine to mimic effect of nicotine
Varenicline - Tobacco Use Disorder Drug-Assisted Treatment:
-Partial nicotinic receptor agonist that reduces cravings and withdrawal
, Pain Management
Hyperalgesia - ___ for Clients with Substance Use Disorder
-Treat patient with dignity and respect.
-___ is a higher priority than substance use disorder.
-____ may result from opioid exposure in those with history of OUD.
Mild Substance Use Disorder - Fewer criteria are met (2-3), indicating a lower level of
impairment in functioning.
Moderate Substance Use Disorder - More criteria are met (4-5), indicating a moderate
level of impairment in functioning.
Severe Substance Use Disorder - Most or all criteria are met (6-7), indicating a severe
level of impairment in functioning.
short term effects of drug use - -Euphoria or altered mood
-Altered perception and impaired judgment
-Increased heart rate and blood pressure
-Nausea, vomiting, or diarrhea
Impaired coordination and motor function
-Decreased inhibitions and risk-taking behavior
long term effects of drug use - -Physical dependence and addiction
-Tolerance, requiring higher doses to achieve the same effects
-Organ damage and increased risk of chronic diseases (e.g., liver damage from alcohol
abuse, lung damage from smoking)
-Cognitive impairments, including memory loss and decreased cognitive function
-Mental health issues such as depression, anxiety, and psychosis
-Social consequences such as strained relationships, job loss, and legal problems
Sedatives/Sedative-Hypnotics - -Commonly used to treat sleep disorders.
-Used to treat anxiety
-Barbituates initially used - greater risk for dependency, side effects.
-OTC - Primary ingredient sleep aids is diphenhydramine.
Sedative-hypnotics - Common Side Effects and Adverse Reactions:
-Residual Drowsiness
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