Chapter 22: Substance-Related and Addictive Disorders Flashcards
substance use disorder defeintion
pathological use of a substance that leads to a disorder of use
addition defintion
chronic medical condition
intoxication definition
in the process of using a substance to excess
tolerance definition
takes a higher dose to achieve the initial level of response
withdrawal definition
symptoms that occur when a person stops using a substance
dual diagnosis
mental health + substance use
we should assess what when we know someone uses inhalants
skin and skin around nose and mouth
opioids use includes
herion
treatment for opioid overdose initial
naloxone (narcan)
- opioid antagonist
opioid addiction drugs
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
why do we want gradual reduction for withdrawl
prevent seizures
two types of alcohol problematic drinking
binge drinking
heavy drinking
bring drinking
too much too quickly
4/5
heavy drinking
too much too often
8/14
alcohol intoxication legal definition
blood concentration of 80 or 100 mg ethanol per deciliter of blood
0.08-0.10g/dL
wenicke-korsakoff syndrome
neurological disorder caused by lack of thymine/B1
wernickes: encephalopathy
Korsakoff: amnesic syndrome
fetal alcohol syndrome
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
codependence
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
alcohol screening tools
SBIRT
AUDIT
CAGE
CAGE-AID
TACE
nursing diagnosis
medically stable
alcohol pharm
disulfiram
naltrexone
benzo
disulfiram
med to support abestince
become ill if drinks alcohol
naltrexone
changes neuro pathways
dopamine/serotonin
decrease cravings
benzos
withdrawal period
alcohol therapy
psychotherapy
motivation interviewing
motivational interviewing
transtheroritcal or stages of change theory
uses person-centered approach to strength motivation for change
transtheorteical stages of change theory
pre contemplation
contemplation
preparation
action
maintenance
precontemplation
not thinking about change
contemplation
idea is tossed around for the person
thinking about it
preparation
prepping to make change
making plans
action
when change is happening
maintence
long term
how to maintence
