Chapter 22: Substance-Related and Addictive Disorders Flashcards

1
Q

substance use disorder defeintion

A

pathological use of a substance that leads to a disorder of use

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2
Q

addition defintion

A

chronic medical condition

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3
Q

intoxication definition

A

in the process of using a substance to excess

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4
Q

tolerance definition

A

takes a higher dose to achieve the initial level of response

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5
Q

withdrawal definition

A

symptoms that occur when a person stops using a substance

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6
Q

dual diagnosis

A

mental health + substance use

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7
Q

we should assess what when we know someone uses inhalants

A

skin and skin around nose and mouth

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8
Q

opioids use includes

A

herion

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9
Q

treatment for opioid overdose initial

A

naloxone (narcan)
- opioid antagonist

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10
Q

opioid addiction drugs

A

metadone
- synthetic narcotic opioid (decrease the painful symptoms of opiite withdrawal)

clonidine
- alpha agonist (reduce the symptoms of opioid withdrawal by blocking neurotransmitters

buprenorphine
- opioid partial agonist (produces similar effects but not to the same extent

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11
Q

why do we want gradual reduction for withdrawl

A

prevent seizures

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12
Q

two types of alcohol problematic drinking

A

binge drinking
heavy drinking

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13
Q

bring drinking

A

too much too quickly
4/5

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14
Q

heavy drinking

A

too much too often
8/14

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15
Q

alcohol intoxication legal definition

A

blood concentration of 80 or 100 mg ethanol per deciliter of blood
0.08-0.10g/dL

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16
Q

wenicke-korsakoff syndrome

A

neurological disorder caused by lack of thymine/B1

wernickes: encephalopathy
Korsakoff: amnesic syndrome

17
Q

fetal alcohol syndrome

A

mother used alcohol while pregnant

s/s: low body weight as newborn, coordination disturbances, mobility delays, behavioral concerns in school, emotional or social problems. difficulty learning, speech/language delay, poor memory

18
Q

codependence

A

exhibit over responsible behavior-doing for others what others could just do themselves
define their self worth in terms of caring for others
enabling behavior is part of this

19
Q

alcohol screening tools

A

SBIRT
AUDIT
CAGE
CAGE-AID
TACE

20
Q

nursing diagnosis

A

medically stable

21
Q

alcohol pharm

A

disulfiram
naltrexone
benzo

22
Q

disulfiram

A

med to support abestince
become ill if drinks alcohol

23
Q

naltrexone

A

changes neuro pathways
dopamine/serotonin
decrease cravings

24
Q

benzos

A

withdrawal period

25
alcohol therapy
psychotherapy motivation interviewing
26
motivational interviewing
transtheroritcal or stages of change theory uses person-centered approach to strength motivation for change
27
transtheorteical stages of change theory
pre contemplation contemplation preparation action maintenance
28
precontemplation
not thinking about change
29
contemplation
idea is tossed around for the person thinking about it
30
preparation
prepping to make change making plans
31
action
when change is happening
32
maintence
long term how to maintence
33