03 Devil's Lettuce Flashcards

1
Q

One of the oldest drugs in the world, dates back

A

12000 years

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2
Q

Hemp for _______ is valuable commodity

A

fiber

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3
Q

Addiction =

A

tolerance + withdrawal

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4
Q

Addiction = tolerance + withdrawal
*
How does this equation apply to the marijuana smoker?

A

No so clear with the marijuana smoker

mild

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5
Q

In youth, cannabis use is considered symptom of problems related to? (3)

A

feelings of inadequacy
anxiety
depression

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6
Q

Hypothesis: marijuana causes mental/emotional deterioration.
*
Is this true?

A

it is unproven

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7
Q

Study in Jamaica, Costa Rica and Greece compared heavy long-term use (7 or more joints a day) with nonusers and found?
*
(3) CEL

A

NO
• changes in personality
• evidence of intellectual or neurologic damage
• loss of will to work or participate in society

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8
Q

What was KDS’ main source of info. for this presentation?

A

Substance Abuse Handbook

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9
Q

Sx of Amotivational Syndrome?

LUPAA

A

lack of ambition
uncommunicative
passive
aimless, apathy

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10
Q

Amotivational Syndrome research findings?

A
there is no credible evidence that 
what is meant by this syndrome is r/t 
any inherent properties of the drug 
than 
to different sociocultural adaptations on the part of the user
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11
Q

Gateway Hypothesis per Substance Abuse Handbook?

A

“Smoking marijuana leads to the use of opiates and other illicit drugs” (SAH)

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12
Q

Gateway Hypothesis was studied by? (2)

A

the Institute of Medicine and Canadian Senate

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13
Q

After studying the Gateway Hypothesis, what did the Institute of Medicine and Canadian Senate find?

A

NO EVIDENCE

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14
Q

What does Substance Abuse Handbook say about the Gateway Hypothesis?

A

“only the unsophisticated continue to believe that cannabis leads to violence and crime, cannabis suppresses it.”

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15
Q

Cannabis and Psychosis. Describe the literature.

A

Literature is vast and divides into all shades of opinion.

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16
Q

What does the Substance Abuse Handbook conclude about Cannabis and Psychosis?

A

“Cannabis may precipitate exacerbations in the psychotic processes of some patients with schizophrenia
at the time when
their illnesses are otherwise reasonably well controlled with antipsychotic drugs”

17
Q

In whom does toxic psychosis occur? When?

A

in some individuals after ingestion of huge amounts of marijuana

18
Q

Toxic psychosis - name some s/s
ABCCDD
*
FIR

A
apprehension
bewilderment
confusion
clouding of consciousness
disorientation
dream-like thinking
*
fear
illusions and hallucinations
restlessness
19
Q

When does toxic psychosis clear?

A

clears when cessation begins…

20
Q

According to the Substance Abuse Handbook, what is the most frequent adverse reactions to MJ?
*
Who suffers from these?

A

usually short-lived, acute, anxiety states, sometimes with or without accompanying paranoid thoughts
*
some marijuana users

21
Q

What is the “best medicine” for adverse reactions to marijuana?

A

Reassurance is best medicine!

22
Q

What is a well-confirmed danger of long-term, heavy marijuana use?

A

its effect on the lungs

23
Q

Well-confirmed danger of long-term, heavy marijuana use is its effect on the lungs.
*
What does smoking marijuana do?

A

Smoking narrows and inflames air passages and reduces breathing capacity.

24
Q

What are 3 possible s/e of smoking marijuana?

A

bronchitis
emphysema
lung cancer

25
Q

Marijuana contains same _____ as tobacco smoke.
*
Usually in?

A

Marijuana contains same carcinogens as tobacco smoke.
*
Usually in higher concentration.

26
Q

Marijuana contains same carcinogens as tobacco smoke, usually in higher concentration; however…?

A

because of the higher potency of marijuana,
this may reduce the danger of respiratory damage because
less smoking is required for the desired effect. (SAH)

27
Q

Medicinal Uses. Historically used for?

HOPP

A

headache
obstetric and gynecologic conditions
pain
psychiatric disorders

28
Q

History in Western medicine begins in?

A

1839

29
Q

Historically in Western medicine, marijuana was used for?
CRAM
FDP

A
coughing
rheumatism
asthma
migraine headache
*
fatigue
delirium tremens
painful menstruation
30
Q

According to the Substance Abuse Handbook, what is the greatest advantage of cannabis as a medicine?

A

its unusual safet

31
Q

How is cannabis unusually safe?

LDD - let’s do drugs

A

NO
• Lethal dose
• Damage to body organs
• Disturbance to physiologic functions

32
Q

Cannabis unusually safe…but only when???

A

used in therapeutic range

33
Q

Has been successfully used in which 3 ways?

A

orally
IV
aerosol spray

34
Q

Has been successfully used orally, IV, aerosol spray for:
3 acronyms
AGE
Cancer –para

A
MS
CP
AIDS
*
Asthma (aerosol spray)
Glaucoma
Epilepsy
*
Cancer 
pain
appetite stimulation
reduce tumor growth
antiemetics
35
Q

Legalized for medical use in?

A

Canada and Holland