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Nurs 1456 > Addiction Disorder Chap 22 > Flashcards

Addiction Disorder Chap 22 Flashcards

1
Q

Percentage of addicts that have co-occuring mental health disorder

A

50

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2
Q

Pathological use of a substance that leads to disorder of use, intoxication, withdrawal

A

SUD

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3
Q

Define Process Addictions

Parts of brain affected

A

Gambling, sex, shopping, social media

Activates dopamine & Glutamate

Limbic system

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4
Q

Percent population with SUD

A

10

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5
Q

Are educated, employed, rural people more likely to be addicted

A

Nope

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6
Q

Highest comorbidities with druggies

A

Hep A & C
Diabetes
CV diseases
HIV
Pulmonary Disorders
Psoriasis

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7
Q

Wernicke encephalopathy & korsakoff psychosis happen from

A

Alcohol Withdrawal

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8
Q

Name comorbidities associated with ETOH

A

Wernicke encephalopathy Korsakoff psychosis

Cirrhosis liver
Pancreatitis
Hepatitis
Esophagus
Gastritis

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9
Q

Fetal alcohol syndrome

CNS problems

Name them

A

Retarded
Hyperactive
Delay in motor skills
Language
Memory

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10
Q

Areas of the brain most affected by drug use (3)

A

Brain stem, limbic , Frontal cortex

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11
Q

Reward pathways for motivation & memory are found in the…

A

Limbic system

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12
Q

Eating & sex cue the ____ and _____ for memories and the Frontal cortex releases ____ to close the circuit

A

Amygdala & hippocampus

Glutamate

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13
Q

Etoh & CNS depressants act on GABA receptors and increase bioavailabilty of (3)

A

Glutamate, norepinephrine, dopamine

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14
Q

Neurotransmitter important in memory formation

A

Glutamate

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15
Q

Incentive Saliance is…

A

Responsible for craving a drug when not currently using it

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16
Q

Most important drug related interview question

A

When was the last time you used

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17
Q

Carbohydrate-deficit transferrin & GGT

How are they similar & different

A

Both show liver damage from drinking

CDT shows long term consistent drinking

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18
Q

Electrolytes to monitor closely with alcohol consumption

A

Magnesium & K

Both low

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19
Q

BAL

Mild impairment, potentially changes behavior

Impaired driving, Slurred Speech, ataxia, less sensory function, nausea

Impaired balance, gross judgment & cognition impairment

All sensory motor function Impaired

Potential cardiovascular and respiratory collapse Death

A

0.02 - 0.05 Mild impairment, potentially changes behavior

0.08 - 0.1 Impaired driving, Slurred Speech, ataxia, less sensory function, nausea

0.1 - 0.15 Impaired balance, gross judgment & cognition impairment

0.2 - 0.3All sensory motor function Impaired

> 0.3 Potential cardiovascular and respiratory collapse Death

20
Q

Assessment

Screening brief intervention and referral to treatment

A

SBIRT

21
Q

Assessment

Alcohol use disorder identification test

A

AUDIT

22
Q

Assessment

4 questions to id alcohol abuse

A

CAGE

CAGE-AID adds drugs

23
Q

Assessment

Alcohol withdrawal scale

A

CIWA

24
Q

Which assessment is the Public Health response

A

SBIRT

Screening
Brief Intervention
Referral treatment

25
Q

Alcohol withdrawal starts and peaks when

A

Few hours after stopping

Peaks 24 - 48 hrs

26
Q

Alcohol withdrawal delirium starts 2 - 3 days after stopping and last how long…

A

2 - 3 days

27
Q

Hyperglycemia is an effect of alcohol withdrawal

T or F

A

F

Hypoglycemia

28
Q

Treat alcohol withdrawal with these 4 types of medications

A

Thiamine, Folic acid, B12

Benzos

Clonidine lowers BP

Anticonvulsants (Tegretol , Phenobarbital)

29
Q

Disulfiram is aka….

A

Antabuse

30
Q

Disulfiram
Acamprosate
Naltrexone

Are used for…

Precautions

A

Reducing alcohol cravings

Acamprosate- suicide

Naltrexone- no give if acute hepatitis/ liver failure. Also works for opioid cravings

31
Q

GHB date rape drug

Onset / Duration/ excretion time

A

10 - 20 minutes, 2 - 4 hrs, Excretion 4 - 7 hrs.

32
Q

Management of CNS depressants overdose

Awake / Coma

A

Awake: Induce vomiting/ Activated charcoal

Coma: Gastric lavage, haemodialysis, seizure precautions, Romazicon- Antidote for benzos

33
Q

Romazicon…

A

Antidote for benzos

34
Q

Withdrawal from CNS Stimulants

Give these meds (2)

A

Haldol

Antidepressants

Bromocriptine Parlodel

35
Q

CNS stimulant overdose

Treatments

2 meds

A

Cooling for hyperpyrexia
Monitor resp shock and cardiac arrest

Antipsychotics & diazepam (seizures)

36
Q

Coccaine produces imbalance in these neurotransmitters

A

Dopamine & Norepinephrine

37
Q

Buprenorphine is used for…

A

Suboxone

Treats opiod addiction

38
Q

Clonidine Catapress can be used for…

A

Opiod addiction

39
Q

Nystagmus & violent erratic behavior, blank stare, ataxia, seizures

Seen in this drug….

A

PCP / Sherm

40
Q

Treatment for hallucinogens

Meds

A

Low stimuli
Stay with client provide safety

Diazepam / Haldol

41
Q

Most deadly and costly drug

A

Nicotine

42
Q

Varenicline….

A

Chantix

43
Q

Bupropion ….

A

Zyban

Stop smoking med

Monitor for agitation, insomnia, anxiety

44
Q

Transtheoretical stages of change theory

5

A

Precontemplation
Contemplation
Preparation
Action
Maintenance

Used to quit drugs

45
Q

Health teaching & promotion

Primary prevention

A

FRAMES

Feed back of personal risks
Responsibility of the patient
Advice to change
Menu of ways to reduce substance abuse
Self- efficacy for patient

Nurs 1456 (5 decks)

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