Substance Use Disorders Overview
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What was the driving factor behind the first wave of the opioid overdose epidemic?

  • Increased prescription rates of opioid painkillers (correct)
  • Increased accessibility of heroin
  • The widespread availability of illicitly manufactured fentanyl
  • The introduction of carfentanil
  • Which of these is NOT a characteristic associated with an opioid overdose?

  • Dilated pupils (correct)
  • Pinpoint pupils
  • Unconsciousness
  • Slow, shallow breathing
  • Which type of fentanyl is considered more dangerous due to its unregulated nature and potency?

  • Pharmaceutical fentanyl
  • Illicitly manufactured fentanyl (correct)
  • Carfentanil
  • All of the above
  • How much carfentanil is potentially lethal?

    <p>2 milligrams (A)</p> Signup and view all the answers

    What is the primary purpose of naloxone in treating an opioid overdose?

    <p>To counteract the effects of the opioid (B)</p> Signup and view all the answers

    Which of the following is NOT listed as a step in responding to an opioid overdose?

    <p>Administering CPR (C)</p> Signup and view all the answers

    Why is carfentanil considered particularly dangerous for first responders?

    <p>All of the above (D)</p> Signup and view all the answers

    What is the most common method of administering naloxone?

    <p>Nasal spray (C)</p> Signup and view all the answers

    What is the main neurotransmitter affected by chronic benzodiazepine use?

    <p>GABA (B)</p> Signup and view all the answers

    Which of the following is NOT a symptom of intoxication from sedatives, hypnotics, and anxiolytics?

    <p>Increased alertness (D)</p> Signup and view all the answers

    What is the main reason benzodiazepine overdose can be dangerous?

    <p>It can depress the central nervous system (CNS), potentially leading to respiratory depression. (A)</p> Signup and view all the answers

    What is meant by 'tolerance' in the context of benzodiazepine use?

    <p>The need for increasingly higher doses to achieve the desired effect. (B)</p> Signup and view all the answers

    Which of the following is NOT a common benzodiazepine?

    <p>Amphetamine (A)</p> Signup and view all the answers

    What is the primary reason for the potential health concerns associated with the misuse or overuse of sedatives, hypnotics, and anxiolytics?

    <p>They can lead to dependence and overdose. (C)</p> Signup and view all the answers

    Which of the following is a potential intervention for benzodiazepine overdose?

    <p>Monitoring of capnography to assess for hypoventilation (B)</p> Signup and view all the answers

    What is the primary effect of these medications on the central nervous system (CNS)?

    <p>Depression (A)</p> Signup and view all the answers

    Which substance is classified in Schedule I of the Controlled Substances Act?

    <p>Cannabis (marijuana) (D)</p> Signup and view all the answers

    Which category includes substances like spray paint and gasoline?

    <p>Other substances (C)</p> Signup and view all the answers

    What is the definition of a standard drink in terms of pure alcohol?

    <p>14 grams of pure alcohol (B)</p> Signup and view all the answers

    What potential does Schedule III have in terms of physical and psychological dependence?

    <p>Moderate to low potential for dependence (D)</p> Signup and view all the answers

    Which of the following substances is known to have a low potential for abuse and dependence?

    <p>Tramadol (Ultram) (D)</p> Signup and view all the answers

    Which substance is listed under illicit drugs and is also a commonly misused prescription medication?

    <p>Methadone (D)</p> Signup and view all the answers

    What emergency resource can be contacted for guidance regarding poisoning?

    <p>Poison Control at 1-800-222-1222 (B)</p> Signup and view all the answers

    Which of the following is an example of a Schedule V substance?

    <p>Cough medications with codeine (D)</p> Signup and view all the answers

    What is a significant impact of chronic substance use disorders on society?

    <p>Increased healthcare costs and emergency services demands (A)</p> Signup and view all the answers

    Which population statistic is true regarding substance use disorders in the U.S. as of 2020?

    <p>40.3 million people aged 12+ had a substance use disorder (B)</p> Signup and view all the answers

    What is the primary objective of applying the nursing process to clients with substance use disorders?

    <p>To evaluate and adjust the treatment plan based on client responses (A)</p> Signup and view all the answers

    What qualifies as a major category of substances that can lead to substance use disorders?

    <p>Alcohol, illicit drugs, over-the-counter drugs, and other substances (B)</p> Signup and view all the answers

    In evaluating clients for withdrawal symptoms, which aspect is essential to consider?

    <p>Past medical history and substance use patterns (A)</p> Signup and view all the answers

    Which of the following is a protective factor against developing substance use disorders?

    <p>Strong family support systems (D)</p> Signup and view all the answers

    What is an essential step in the treatment of clients experiencing intoxication?

    <p>Assessment and monitoring for safety (A)</p> Signup and view all the answers

    What can be a consequence of substance misuse in the U.S. as stated in recent estimates?

    <p>Increase in fatal vehicle crashes (B)</p> Signup and view all the answers

    What is the most common method of cocaine use?

    <p>Rubbing it into gums (B)</p> Signup and view all the answers

    Which of the following is NOT a short-term effect of cocaine use?

    <p>Severe heart attacks (C)</p> Signup and view all the answers

    What behavioral change is associated with stimulant intoxication?

    <p>Hypervigilance (C)</p> Signup and view all the answers

    What is the recommended intervention for managing severe methamphetamine intoxication?

    <p>Providing intravenous benzodiazepines (C)</p> Signup and view all the answers

    Which symptom indicates stimulant intoxication?

    <p>Pupillary dilation (A)</p> Signup and view all the answers

    Which of the following is a complication that may arise from prolonged stimulant use?

    <p>Chest pain (D)</p> Signup and view all the answers

    Why should antipyretics be avoided in managing acute methamphetamine intoxication?

    <p>Increased body temperature is a result of muscular activity, not changes in body temperature regulation (C)</p> Signup and view all the answers

    Which physical symptom is NOT typically associated with stimulant intoxication?

    <p>Dizziness (D)</p> Signup and view all the answers

    What steps should be taken if a person is suspected of experiencing an opioid overdose and is not breathing?

    <p>Administer naloxone, call 911, perform rescue breathing, and provide CPR if necessary. (C)</p> Signup and view all the answers

    What is the primary purpose of administering naloxone to a person suspected of opioid overdose?

    <p>To reverse the effects of the opioid and restore normal breathing. (C)</p> Signup and view all the answers

    What should you do if the person does not respond to the first dose of naloxone after 2 to 3 minutes?

    <p>Administer a second dose of naloxone. (B)</p> Signup and view all the answers

    Which of the following is NOT a common route of administration for naloxone?

    <p>Orally (B)</p> Signup and view all the answers

    What is a key reason why monitoring someone who has received naloxone is crucial for at least four hours after the last dose?

    <p>The person may need additional doses of naloxone as the effects of the opioid wear off. (C)</p> Signup and view all the answers

    What is a common sign of withdrawal symptoms after naloxone administration?

    <p>Confusion and agitation. (B)</p> Signup and view all the answers

    Why is it important to identify key risk factors when preventing opioid overdoses?

    <p>To target prevention efforts to those who are at highest risk. (C)</p> Signup and view all the answers

    Study Notes

    Substance Use Disorders

    • Misuse of alcohol, drugs, and medications costs over $400 billion annually in the U.S., impacting healthcare, law enforcement, and more.
    • 2021 CDC estimates: 107,622 drug overdose deaths and 52,000 alcohol-induced deaths occurred.
    • In 2020, 40.3 million people aged 12+ in the U.S. had a substance use disorder (SUD).

    Substance Definition and Categories

    • A psychoactive compound with potential health and social problems, including SUD.
    • Major categories include:
    • Alcohol
    • Illicit drugs (prescription drug misuse included)
    • Over-the-counter drugs (nonmedically)
    • Other substances (inhalants, delta-8-THC)

    The Controlled Substances Act

    • Federal law categorizing controlled substances into five schedules.
    • Classifications are based on:
    • Medical use
    • Potential for abuse or dependency
    • Safety concerns

    Intoxication and Overdose

    • Intoxication: Disturbance in behavior/mental function after substance use.
    • Overdose: Biological response to excessive substance ingestion.
    • Emergency Resources: Poison Control (1-800-222-1222), hospital toxicologists (bedside consultation in some hospitals)

    Standard Drink Definition

    • Based on 2015–2020 Dietary Guidelines for Americans
    • 1 standard drink = 14 grams of pure alcohol
    • Examples: 12 oz beer, 8-9 oz malt liquor, 5 oz wine, 1.5 oz distilled spirits

    Alcohol Consumption Statistics (2020)

    • 50% of Americans aged 12+ use alcohol.
    • 22.2% engage in binge drinking.
    • 6.4% are heavy alcohol users.

    Alcohol Use Disorders

    • Heavy Drinking (Women: 8+ drinks/week, Men: 15+ drinks/week).
    • Binge Drinking (Men: 5+ drinks, Women: 4+ drinks on one occasion).
    • Intoxication Symptoms: Behavioral/psychological changes (aggressive, slurred speech), physical (incoordination, unsteady gait).

    Opioid Use and Intoxication

    • Prevalence (2020): 9.5 million Americans (3.4% of 12+).
    • 9.3 million misused prescription pain relievers; 902,000 used heroin.
    • Opioids commonly prescribed for moderate-severe pain. Types of Fentanyl: pharmaceutical, illicitly manufactured.
    • Overdose Symptoms: pinpoint pupils, slowed/stopped breathing, decreased level of consciousness.

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    Description

    Explore the critical aspects of substance use disorders (SUD), including the impact of misuse on society and the economy. Learn about the types of substances, the Controlled Substances Act, and the differences between intoxication and overdose. This quiz provides a comprehensive look into the challenges and implications of SUD.

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