Addiction Management

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Questions and Answers

What is a possible consequence of abruptly stopping alcohol in a patient with chronic use?

Decreased heart rate

Increased GABA receptor sensitivity

Neuronal hyperexcitability (correct)

Improved mental clarity

Which statement correctly describes the patient's alcohol use risk?

Risk primarily due to illicit drug use, not alcohol

Low risk due to moderate consumption

Increased risk of withdrawal syndrome due to high consumption (correct)

No risk associated with intermittent binge drinking

What physiologic effect does chronic alcohol consumption have on GABA receptors?

No effect on GABA receptors

Upregulation of GABA receptors

Downregulation of GABA receptors (correct)

Increased GABA receptor activity

Which symptoms indicate possible alcohol withdrawal syndrome?

Sympathetic overstimulation and visual hallucinations Signup and view all the answers

What could enhance the CNS depressant effects in someone consuming alcohol and certain sedatives?

Combination of alcohol with barbiturates Signup and view all the answers

What might the patient's bloodshot and congested eyes indicate?

Intoxication, possibly from cannabis Signup and view all the answers

What is the significance of the patient's slow speech and delayed responses?

Effects of a psychoactive substance Signup and view all the answers

What does the patient's excessive hunger after a lack of food throughout the day suggest?

Cannabis-induced appetite stimulation Signup and view all the answers

Which receptor's agonism is responsible for the psychoactive effects seen in this patient?

CBI receptor Signup and view all the answers

What is the most likely cause of the patient's confusion and disorientation?

Intoxication, likely from cannabis Signup and view all the answers

What effect does cannabis intoxication have on a person's judgment?

Leads to impaired judgment Signup and view all the answers

Which of the following symptoms is least likely to be associated with cannabis intoxication?

Visual distortions Signup and view all the answers

What could the patient's avoidant behavior when questioned by the relative indicate?

Denial of substance use Signup and view all the answers

What is the main mechanism of action of amphetamines?

Induction of neurotransmitter release Signup and view all the answers

What symptom is indicative of methamphetamine intoxication?

Skin excoriations Signup and view all the answers

What type of clinical manifestation is seen in benzodiazepine intoxication?

Ataxia Signup and view all the answers

What symptom is associated with cannabis withdrawal?

Insomnia Signup and view all the answers

During which intoxication might a patient experience auditory hallucinations?

LSD intoxication Signup and view all the answers

What is a potential severe complication from methamphetamine use?

Seizures Signup and view all the answers

Symptoms such as agitation, hypersensitivity to stimuli, and suicidal thoughts are most associated with withdrawal from what substance?

Amphetamines Signup and view all the answers

What would indicate possible LSD intoxication in a patient?

Perceptual distortion and paranoia Signup and view all the answers

Which of the following withdrawal symptoms is common with benzodiazepine cessation?

Diaphoresis Signup and view all the answers

What treatment approach is recommended for amphetamine intoxication?

Supportive therapy and fluid management Signup and view all the answers

In the context of drug withdrawal, which symptom is most likely linked to nicotine cessation?

Increased appetite/weight Signup and view all the answers

What does the term 'physiologic crash' imply in the context of amphetamine use?

Initial high energy followed by sudden fatigue Signup and view all the answers

What is a common side effect of avoiding amphetamines and facing withdrawal?

Anhedonia and anxiety Signup and view all the answers

What phenomenon is associated with chronic use of hallucinogens like LSD?

Flashbacks Signup and view all the answers

Study Notes

Intoxication Mechanisms and Treatment

Cannabis intoxication: CBI receptor agonist; causes euphoria, anxiety, paranoid delusions, slowed time perception, impaired judgment, social withdrawal, increased appetite, dry mouth, and conjunctival injection.

Patient Presentation and Diagnosis

48-year-old female: Brought to ED by son at 9:00 AM, extremely happy but confused and disoriented; slow speech, delayed responses, poor coordination, difficulty balancing; dry mouth, extreme hunger, minimal breakfast; bloodshot, congested eyes; good hydration, adequate respiratory and cardiac function.
Patient's relative: Nervous and avoidant.

Diagnostic Considerations

Mechanism of Action: The clinical presentation suggests cannabis intoxication.

Appropriate Management

Treatment: Symptomatic treatment for intoxication.
Withdrawal: Psychosocial support, and interventions for potential withdrawal.

Additional Patient Examples

22-year-old female: Brought to ER by friends; confused, disoriented, unusual sensory perceptions (sounds, colors); talks to self, moves anxiously, erratic mood changes, reports being chased. Dilated pupils, sweating
- Possible diagnosis: LSD intoxication. (visual hallucinations, auditory hallucinations, depersonalization, paranoia, anxiety)
24-year-old male: Wound to index finger; history of intravenous drug use, heavy alcohol consumption.
- Possible diagnosis: Alcohol withdrawal with delirium tremens. (Possible delirium, sympathetic overstimulation, and altered mental state).
Important Considerations:
Individual history and presentation matter in diagnosis: Specific symptoms help pinpoint cause.
Withdrawal symptoms, and their severity are tied to substance use: Assess for both current intoxication and the potential for withdrawal.

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Description

This quiz covers the mechanisms of cannabis intoxication, patient presentation, diagnostic considerations, and appropriate management strategies. Test your understanding of the effects of cannabis and how to support patients experiencing its effects.

Addiction Management - FLIPPED