Chemical Dependency Flashcards

0
Q

which neurotransmitter makes a person feel more relaxed and want to keep using

A

GABA

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1
Q

which neurotransmitter is ⬆️ when taking CNS depressants

A

GABA

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2
Q

the repeated use/misuse of a substance w/ adverse consequences of that use

A

substance abuse

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3
Q

the continued use of a substance despite sever life problems

A

dependence

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4
Q

the need for greatly ⬆️ amounts of a substance to obtain the desired effects

A

tolerance

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5
Q

the behavioral, physiologic, & cognitive s/s that occur when concentrations of a substance abruptly decline

A

withdrawal

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6
Q

refers to the behaviors that surround the compulsive abuse of a drug

A

addiction

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7
Q

the controlled w/d from an abusive substance in a medically prescribed program

A

detox

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8
Q

the presence of another psych disorder in a person w/ a substance induced disorder, like schizophrenia

A

dual diagnosis

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9
Q

what are the 4 questions in the CAGE questionaire

A
  1. have you ever felt the need to CUT down
  2. have you ever felt ANNOYED by criticism
  3. have you ever felt GUILTY
  4. have you ever taken a drug to open your EYES in the morning
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10
Q

how many YES to the CAGE questionnaire means the pt likely has a drug problem

A

2

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11
Q

what type of drug is Heroin

A

opioid

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12
Q

what type of drug is Morphine

A

opioid

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13
Q

what type of drug is Methadone

A

opioid

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14
Q

what type of drug is Demerol

A

opioid

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15
Q

what type of drug is Oxycodone

A

opioid

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16
Q

what type of drug is Fentanyl

A

opioid

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17
Q

what type of drug is alcohol

A

CNS depressant

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18
Q

what is an important question to ask an alcoholic

A

when was your last drink

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19
Q

what drug causes gastritis & esophagitis

A

alcohol

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20
Q

w/in how long after the last drink do s/s of alcohol w/d start to occur

A

4-12 hours

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21
Q

how long after the last drink does s/s of alcohol w/d peak

A

24-36 hours

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22
Q

how long after the last drink does a hangover occur

A

4-6 hours

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23
Q

what has s/s - N, V, gastritis, ha, fatigue, irritability, restlesness, sweating, thirst, shakiness

A

hangover

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24
Q

how long after the last drink does minor w/d start

A

6-12 hours

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25
Q

how long after the last drink does major w/d occur

A

2-3 days

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26
Q

what has s/s - N/V, anorexia, anxiety, irritability, ⬆️ VS, tremors, diaphoresis, insomnia

A

minor w/d

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27
Q

what has s/s - ⬆️ VS, diaphoresis, hallucinations, delirium tremens, coma/death

A

major w/d

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28
Q

acute confused state w/ ataxia, delirium, & peripheral neuropathy r/t alcohol

A

wernicke syndrome

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29
Q

if wernicke syndrome does not clear spontaneously, what would be used for the tx

A

high doses of thiamine

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30
Q

a congnitive disturbance of ST memory in users that have been drinking heavily for many years & have a thiamine deficiency

A

Korsakoff syndrome

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31
Q

which LT complication of alcohol can be irreversible if left untreated

A

Korsakoff syndrome

32
Q

what type of drugs are Benzos

A

CNS depressant

33
Q

what type of drug is Barbituates

A

CNS depressants

34
Q

what type of drug is date rape drugs

A

CNS depressant

35
Q

what type of drug causes euphoria, relaxation, impaired attention/memory, ⬇️ pain sensation, sedation

A

CNS depressants

36
Q

which type of drug has w/d - N/V/D, ⬆️ VS, diaphoresis, depression, seizures - is life threatening

A

CNS depressant

37
Q

what is caused by LT use of CNS depressants

A

depression

paranoia

38
Q

what type of drug causes euphoria, dizziness, ataxia, & perceptual changes

A

inhalants

39
Q

what type of drug is cocaine

A

CNS stimulant

40
Q

what type of drug is amphetamine

A

CNS stimulant

41
Q

what type of drug has - euphoria, ⬆️ energy, ⬆️ confidence, appetite suppression, ⬆️ VS, paranoia, hypervigalence

A

CNS stimulant

42
Q

what occurs w/ chronic use of CNS stimulants

A

perforated septum

43
Q

high doses of what type of drug causes paranoid psychosis

A

CNS stimulants

44
Q

which type of drug w/d causes crash depression

A

CNS stimulants

45
Q

what can occur w/ severe w/d from CNS stimulants

A

❤️ arrhythmia

CVA

46
Q

what type of drug is Mescaline

A

hallucinogen

47
Q

what type of drug is mushrooms

A

hallucinogen

48
Q

what type of drug is LSD

A

hallucinogen

49
Q

what drug has effects - intense emotions, depersonalization, synesthesias

A

hallucinogens

50
Q

one type of stimulation evokes the sensation of another

A

synesthesias

51
Q

what type of drug is PCP

A

dissociative anesthetic

52
Q

what type of drug is Ketamine

A

dissociative anesthetic

53
Q

what type of behavior is seen w/ PCP

A

violent
bizzare
unpredictable

54
Q

what drug OD - hyperthermia, seizures, rhabdo, kidney failure

A

PCP

55
Q

what type of drug is Ecstasy

A

AHS

56
Q

what drug - euphoria, warmth, distortions

A

ecstasy

57
Q

what drug can cause death when combined w/ high activity

A

ecstasy

58
Q

what is a chronic effect of ecstasy

A

depression

59
Q

which drug causes severe depression, sleep problems, drug cravings, & anxiety

A

ecstasy

60
Q

which drug counteracts respiratory depression

A

Narcan

61
Q

what are the doses for Narcan

A

0.4 - 0.8 mg

62
Q

which drug is a non-addictive antihypertensive used to ⬇️ w/d symptoms & ⬆️ comfort

A

Catapres

63
Q

how often can Narcan be repeated

A

q5-15 min

64
Q

which drug is used to suppress w/d symptoms & ⬆️ comfort

A

Buprenex

65
Q

which med is used to ⬇️ abd cramps in w/d

A

Bentyl

66
Q

which med is used for muscle cramps & overall pain in w/d

A

Neurontin

67
Q

what med is used to suppress w/d symptoms, ⬆️ comfort, reverse effects of illicit narcots

A

Suboxone

68
Q

which drug is a synthetic opiate tapered slowly for LT addicts w/ many tx failures

A

Methadone

69
Q

which drug is an alternative to Methadone that is effective x 3 days

A

LAAM

70
Q

which drug blocks the euphoric effects of drugs & works up to 3 days to stop desire

A

Naltrexone

71
Q

how much fluid should be encouraged w/ alcohol detox

A

3000 mL/day

72
Q

what are 2 Benzos that can be used to help w/ alcohol detox

A

Klonopin

Ativan

73
Q

which type of detox is Mag Sulfate used for

A

alcohol

74
Q

which drug inhibits the complete breakdown of alcohol so there is an acute hypersensitivity to all products containing alcohol

A

Antabuse

75
Q

how long does Antabuse last

A

3 days

76
Q

which class of drug is used in w/d of hallucinogens

A

Benzos

77
Q

which drug is used to tx the dopamine effects on the synapses altered by CNS stimulants

A

Amantadine

78
Q

which group is based on the premise that the addict struggles w/ being able to stop using but wants to continue use

A

rational recovery