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