Substance Use Disorder

Substance Use Disorder 150 150 Tony Guo

Substance Use Disorder

Substance Use

  • Serious problem for society and health care
  • Substance use disorders (SUD)
    • Involve a variety of substances
    • Legal and illegal
  • Affects many patients you will encounter in the health care system
    • Many implications for health and care
    • Nursing management involves recognition of substance use, screening for abuse, and patient education
    • Our professional responsibility to address these problems

Criteria for Substance Use Disorders (SUD)

  • Impaired Control
    • Taking more or for longer than intended
    • Failing to quit using despite multiple times of trying to do so
    • Spending a great deal of time obtaining, using, or recovering from use
    • Craving the substance
  • Social Impairment
    • Missing school, work, or other responsibilities due to use
    • Continuing use despite problems caused or exacerbated by use
    • Giving up or reducing important activities because of use
  • Risky Use
    • Recurrent use in hazardous situations
    • Continued use despite problems that are caused or worsened by use
  • Pharmacologic Dependence
    • Physical tolerance to effects of the substance
    • Presence of withdrawal symptoms when not using or using less


  • Tobacco use disorder (TUD)
    • Most common SUD that you will encounter
    • Smoking is the main form of tobacco use in the United States
  • Effects of Use
    • CNS stimulant
    • Releases adrenaline
    • Effects last 1-2 hours
    • Withdrawal leaves person tired, irritable, anxious, and craving more nicotine
    • Cycle of addiction
  • Complications
    • Smoked tobacco
      • Most harmful method of nicotine use
      • Injures nearly every organ in the body
      • Accounts for 14 million major medical conditions in the United States
    • Smokeless tobacco
      • Less risk of lung disease
      • Associated with
        • Periodontal disease
        • Cancers of mouth, cheek, tongue, throat, esophagus
        • Cardiovascular disease
    • Electronic cigarettes
      • Harmful effects are still emerging
      • Overall impact on health is uncertain
      • Not FDA approved
      • Not recommended as a smoking cessation aid

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