Inhalant-related disorders Unless otherwise indicated, the answers are from DSM-IV-TR, p 257- 264 or American J on Addictions, 10:79-94, 2001. As of 12Sep08.
Transcript
Inhalant-related disorders
Unless otherwise indicated, the answers are from DSM-IV-TR, p 257-264 or American J on
Addictions, 10:79-94, 2001.As of 12Sep08.
Chemistry
Q. What are the chemical classification of these disorders?
Chemistry
Ans. Aliphatic and aromatic hydrocarbons.
Inhalants - NOS
Q. What inhalants are placed by DSM in the “NOS” category of substance-related disorder rather than “Inhalant-related disorders”?
Inhalants - NOS
Ans. Includes:
-- nitrous oxide
-- ether
-- amyl and butyl nitrates
Intoxication
Q. DSM requires 2 of 13 signs of intoxication. List as many of the 13 as you can.
Intoxication - 1
Ans.
1. Dizziness
2. Nystagmus
3. Incoordination
4. Slurred speech
5. Unsteady gait
6. lethargy
Intoxication - 2
7] depressed reflexes
8] psychomotor retardation
9] tremor
10] muscle weakness
11] blurred vision
12] stupor
13] euphoria
Withdrawal
Q. Status of “inhalant withdrawal” in DSM-IV-TR.
Withdrawal
Ans. DSM-IV authors decided that there was insufficient evidence for such a disorder.
Huffing
Q. What is “huffing”?
Huffing
Ans. Soaking a rage with an inhalant and applying it to the mouth and nose and inhaling the vapors.
Bagging
Q. What is “bagging”?
Bagging
Ans. Placing the inhalant in a bag and breathing the vapors from the bag.
Common substances
Q. Name some common substances that are inhaled relative to this disorder?
Common substances
Ans.
-- toluene
-- benzene
-- acetone
-- tetrachloroethylene
-- methanol
Found
Q. Inhalants are found in?
Found
Ans. The examiner’s questions are likely to include one of the following:
Q. Hippuric acid in increased amounts in the urine suggests?
Hippuric acid
Ans. Pt has used toluene.
Neurological findings
Q. Speaking generally, chronic use of inhalants can lead to what neurological findings?
Neurological findings
Ans. Both peripheral and central nervous system damages are found.
Prevalence - gender
Q. Which gender predominates?
Prevalence - gender
Ans. ¾ men.
Treatment
Q. Treatment of inhalant-related disorders?
Treatment
Ans. There is no specific treatment, so examiner’s expectations, should this be asked in any way, is the more general approaches to abuse and dependence. “Public education” or “patient education” can be included in the answer.