Chemical Dependency Flashcards
which neurotransmitter makes a person feel more relaxed and want to keep using
GABA
which neurotransmitter is ⬆️ when taking CNS depressants
GABA
the repeated use/misuse of a substance w/ adverse consequences of that use
substance abuse
the continued use of a substance despite sever life problems
dependence
the need for greatly ⬆️ amounts of a substance to obtain the desired effects
tolerance
the behavioral, physiologic, & cognitive s/s that occur when concentrations of a substance abruptly decline
withdrawal
refers to the behaviors that surround the compulsive abuse of a drug
addiction
the controlled w/d from an abusive substance in a medically prescribed program
detox
the presence of another psych disorder in a person w/ a substance induced disorder, like schizophrenia
dual diagnosis
what are the 4 questions in the CAGE questionaire
- have you ever felt the need to CUT down
- have you ever felt ANNOYED by criticism
- have you ever felt GUILTY
- have you ever taken a drug to open your EYES in the morning
how many YES to the CAGE questionnaire means the pt likely has a drug problem
2
what type of drug is Heroin
opioid
what type of drug is Morphine
opioid
what type of drug is Methadone
opioid
what type of drug is Demerol
opioid
what type of drug is Oxycodone
opioid
what type of drug is Fentanyl
opioid
what type of drug is alcohol
CNS depressant
what is an important question to ask an alcoholic
when was your last drink
what drug causes gastritis & esophagitis
alcohol
w/in how long after the last drink do s/s of alcohol w/d start to occur
4-12 hours
how long after the last drink does s/s of alcohol w/d peak
24-36 hours
how long after the last drink does a hangover occur
4-6 hours
what has s/s - N, V, gastritis, ha, fatigue, irritability, restlesness, sweating, thirst, shakiness
hangover
how long after the last drink does minor w/d start
6-12 hours
how long after the last drink does major w/d occur
2-3 days
what has s/s - N/V, anorexia, anxiety, irritability, ⬆️ VS, tremors, diaphoresis, insomnia
minor w/d
what has s/s - ⬆️ VS, diaphoresis, hallucinations, delirium tremens, coma/death
major w/d
acute confused state w/ ataxia, delirium, & peripheral neuropathy r/t alcohol
wernicke syndrome
if wernicke syndrome does not clear spontaneously, what would be used for the tx
high doses of thiamine
a congnitive disturbance of ST memory in users that have been drinking heavily for many years & have a thiamine deficiency
Korsakoff syndrome
which LT complication of alcohol can be irreversible if left untreated
Korsakoff syndrome
what type of drugs are Benzos
CNS depressant
what type of drug is Barbituates
CNS depressants
what type of drug is date rape drugs
CNS depressant
what type of drug causes euphoria, relaxation, impaired attention/memory, ⬇️ pain sensation, sedation
CNS depressants
which type of drug has w/d - N/V/D, ⬆️ VS, diaphoresis, depression, seizures - is life threatening
CNS depressant
what is caused by LT use of CNS depressants
depression
paranoia
what type of drug causes euphoria, dizziness, ataxia, & perceptual changes
inhalants
what type of drug is cocaine
CNS stimulant
what type of drug is amphetamine
CNS stimulant
what type of drug has - euphoria, ⬆️ energy, ⬆️ confidence, appetite suppression, ⬆️ VS, paranoia, hypervigalence
CNS stimulant
what occurs w/ chronic use of CNS stimulants
perforated septum
high doses of what type of drug causes paranoid psychosis
CNS stimulants
which type of drug w/d causes crash depression
CNS stimulants
what can occur w/ severe w/d from CNS stimulants
❤️ arrhythmia
CVA
what type of drug is Mescaline
hallucinogen
what type of drug is mushrooms
hallucinogen
what type of drug is LSD
hallucinogen
what drug has effects - intense emotions, depersonalization, synesthesias
hallucinogens
one type of stimulation evokes the sensation of another
synesthesias
what type of drug is PCP
dissociative anesthetic
what type of drug is Ketamine
dissociative anesthetic
what type of behavior is seen w/ PCP
violent
bizzare
unpredictable
what drug OD - hyperthermia, seizures, rhabdo, kidney failure
PCP
what type of drug is Ecstasy
AHS
what drug - euphoria, warmth, distortions
ecstasy
what drug can cause death when combined w/ high activity
ecstasy
what is a chronic effect of ecstasy
depression
which drug causes severe depression, sleep problems, drug cravings, & anxiety
ecstasy
which drug counteracts respiratory depression
Narcan
what are the doses for Narcan
0.4 - 0.8 mg
which drug is a non-addictive antihypertensive used to ⬇️ w/d symptoms & ⬆️ comfort
Catapres
how often can Narcan be repeated
q5-15 min
which drug is used to suppress w/d symptoms & ⬆️ comfort
Buprenex
which med is used to ⬇️ abd cramps in w/d
Bentyl
which med is used for muscle cramps & overall pain in w/d
Neurontin
what med is used to suppress w/d symptoms, ⬆️ comfort, reverse effects of illicit narcots
Suboxone
which drug is a synthetic opiate tapered slowly for LT addicts w/ many tx failures
Methadone
which drug is an alternative to Methadone that is effective x 3 days
LAAM
which drug blocks the euphoric effects of drugs & works up to 3 days to stop desire
Naltrexone
how much fluid should be encouraged w/ alcohol detox
3000 mL/day
what are 2 Benzos that can be used to help w/ alcohol detox
Klonopin
Ativan
which type of detox is Mag Sulfate used for
alcohol
which drug inhibits the complete breakdown of alcohol so there is an acute hypersensitivity to all products containing alcohol
Antabuse
how long does Antabuse last
3 days
which class of drug is used in w/d of hallucinogens
Benzos
which drug is used to tx the dopamine effects on the synapses altered by CNS stimulants
Amantadine
which group is based on the premise that the addict struggles w/ being able to stop using but wants to continue use
rational recovery
