intoxication and withdrawal
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21 terms
Terms | Definitions |
|---|---|
 alcohol intoxication | disinhibition, emotional lability, slurred speech, ataxia. SERUM GAMMA-GLUTAMYLTRANSFERASE (GGT). Treatment is naltrexone and disulfiram |
| alcohol withdrawal | Tremor, tachycardia, hypertension, malaise, nausea, seizures, delerium tremens, tremulousness, agitation, HALLUCINATIONS (INCLUDING TACTILE). Tx for DT is benzodiazepines |
| opioid intoxication | CNS depression, nausea and vomiting, constipation, pupillary constriction, seizures. Tx is naloxone and naltrexone |
| opioid withdrawal | anxiety, insomnia, anorexia, sweating, dilated pupils, piloerection, fever, rhinorrhea, stomach cramps and diarrhea, yawning. Treatment is naloxone+ buprenorphine and methadone |
| Barbiturate intoxication | Low safety margin, RESPIRATORY DEPRESSION |
| barbiturate withdrawal | anxiety, seizures, delerium, life threatening cardiovascular collapse |
| benzodiazepine intoxication | greater safety margin. Amnesia, ataxia, somnolence, minor respiratory depression. Additive effects with alcohol. Treatment is flumazenial |
| benzodiazepine withdrawal | rebound anxiety, seizures, tremor, insomnia |
| amphetamine intoxication | psychomotor agitation, impaired judgement, pupillary dilation, hypertension, tachycardia, euphoria, prolonged wakefulness and attention, cardiac arrhythmias, delusions, hallucinations, fever |
| amphetamine withdrawal | post-use crash including depression, lethargy, headache, stomach cramps, hunger, hypersomnolence |
| cocaine intoxication | euphoria, psychomotor agitation, impaired judgement, tachycardia, pupillary dilation, hypertension, HALLUCINATIONS (INCLUDING TACTILE), paranoid ideations, angina, sudden cardiac death. Treatment is benzodiazepines |
| cocaine withdrawal | post-use crash including severe depression and suicidality, hypersomnolence, fatigue, malaise, severe psychological craving |
| caffeine intoxication | restlessness, insomnia, increased diuresis, muscle twitching, cardiac arrhythmias |
| caffeine withdrawal | headache, lethargy, depression, weight gain |
| nicotine intoxication | restlessness, insomnia, anxiety, arrhythmias |
| nicotine withdrawal | irritability, headache, weight gain, craving. Treatment is bupropion/varenicline |
| PCP intoxication | BELLIGERENCE, impulsiveness, fever, psychomotor agitation, vertical and horizontal nystagmus, tachycardia, ataxia, homicidality, psychosis, delerium |
| PCP withdrawal | Depression, anxiety, irritability, restlessness, anergia, disturbances of thought and sleep |
| LSD intoxication | Marked anxiety or depression, delusions, visual hallucinations, FLASHBACKS, pupillary dilation |
| Marijuana intoxication | Euphoria, anxiety, paranoid delusions, perception of slowed time, impaired judgment, social withdrawal, increased appetite, dry mouth, hallucinations |
| Marijuana withdrawal | irritability, depression, insomnia, nausea. Most symptoms peak in 48 hours and last for 5-7 days. Can be detected in urine up to 1 month after last use |
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