Drug Abuse Flashcards

1
Q

What do we need to know about drug abuse

A

TOXICITY, facilitating WITHDRAWL, LONG-TERM

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2
Q

What is a drug addiction

A

Diseases precess of using drug even though they know it’s BAD for them

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3
Q

What are some factors that contibute to drug abuse

A

REINFORCING properties of drugs, DEPENDENCE, AVAILABILITY, SOCIAL factors

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4
Q

What can dabaling and prescitption drugs lead to

A

Addiction

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5
Q

What happens in most treatment

A

Reduced drug use

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6
Q

What is the ideal goal of treatment

A

Complete cessation

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7
Q

What is the most commonly used and abused psychoactive agent in the US

A

Alcohol

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8
Q

What can moderate consumption of alcohol lead to

A

Prolongs LIFE, reduces risk of DEMENTIA and CARDIOVASCULAR disorders

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9
Q

What are the acute effects of alcohol

A

General depression of CNS function

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10
Q

What are the two neuropsychiatric syndromes of alcohol

A

Wernicke’s encephalopathy, Korskaoff’s psychosis

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11
Q

What happens with Wernicke’s encephalopathy

A

CONFUSION, NYSTAGMUS, REVERSIBLE with THIAMIN

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12
Q

What is hepatic encephalopathy

A

Anomium

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13
Q

What is Korsakoff’s psychosis

A

NEUROPATHY, MEMORY, NON reversible

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14
Q

What can alcohol do to the cardiovascular system

A

Damage to the myocardium

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15
Q

What is nonviral hepatitis

A

The precursor to SCEROSIS

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16
Q

What is a very common issue with alcohol

A

Pancreatitis

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17
Q

What is the BAL of intocication

A

0.08

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18
Q

What is the BAL of death

A

0.40

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19
Q

What are the drug interactions of alcohol

A

CNS depressants, NSAIDs, ACETAMINOPHEN

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20
Q

Why is hypotension from an OD of alcohol bad

A

Can NOT be reversied with vasoconstrictors (epi) can LEAD to SHOCK

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21
Q

What are the two different types drugs for alcohol use disorder

A

Facilitate withdrawal, maintain abstinence

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22
Q

What are chlordiazepoxida and lorazepam

A

Benzodiazepines (CNS depressants)

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23
Q

What does disulfiram do

A

Refrain from drinking

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24
Q

Who gets disulfiram

A

Chosen carefully

25
Q

What does naltrexone do

A

Decrease CRAVINGS for alcohol

26
Q

What are most alcoholics deficit in

A

B vitamins

27
Q

What is the greatest single cause of preventable illness and premature death

A

Cigarette smoking

28
Q

What does nicotine do to the cardiovascular system

A

CONSCTICTS blood vessels, ACCELERATES the heart, ELEVATION of BP, INCREASED cardiac work

29
Q

What does nicotine do to the GI tract

A

Increases secretion of gastric ACIDS

30
Q

What are some forms of nicotine replacement therapy

A

Gum, patches, nasal sprays, inhaler

31
Q

What are cupropion and varenicline

A

Non-nicotine drug treatments

32
Q

What are the 5A’s for treating tobacco use and dependence

A

Ask, Adivse, Assess, Assist, Arrange

33
Q

What should you tell your pts about nicotine gum

A

SLOWLY for 30 mins, avoid eating or drinking for 15 before and after

34
Q

What should you know about nicotine inhalers

A

Should not be used by patients with ASTHMA

35
Q

What does bupropion SR do

A

Reduces the URGE to smoke

36
Q

What type of drug is varenicline

A

Agonist at nicotinic receptors

37
Q

What is varenicline

A

The most effective aid for smoking cessation

38
Q

What are the adverse effects of varenicline

A

Neuropsychiatric effects: HOSTILITY, SI

39
Q

What should you NOT use for helping to stop smoking

A

Benzos

40
Q

What is the age that uses heroin the most

A

18-25 years old

41
Q

Why do people choose heroin

A

Cheaper than opioid prescriptions

42
Q

How does oxycodone work

A

Controlled-release drug, ABUSERS CRUSH the med

43
Q

Who uses meperidine the most

A

Healthcare providers

44
Q

Why do people use meperidine

A

Oral route, less problems

45
Q

What does methadone do

A

Prevents symptoms of withdrawals, use when BRINING OFF

46
Q

What does naltrexone do

A

Reduces CRAVING

47
Q

Why are barbiturates bad

A

They are STRONG and have NO ANTIDOTE

48
Q

What do you need to do if your pt has barbiturates toxicity

A

Maintain respirations and remove the drug (barf, charchol)

49
Q

What is the antidote for benzodiazepines

A

Flumazenil

50
Q

What type of drugs are methamphetamines and cocaine

A

Stimulants, puts stress on the HEART

51
Q

What are the treatments for cocaine

A

Diazepam or lorazepam, external COOLING

52
Q

What happens to a persons nose to cocaine

A

Atrophy

53
Q

Is there an anticocaine vaccine

A

Yes it keeps the drug from entering CNS

54
Q

What happens to most of the THC in weed

A

Inactivated by the first-pass effect

55
Q

What are the therapeutic uses of marijuana

A

Antiemetic, appetite stimulant, neuropathic pain

56
Q

What is psilocybin

A

Mushrooms

57
Q

What is ketamine used for

A

Surgical anestetics

58
Q

What is dextromethorphan

A

Cough suppressant, abused by TEENS

59
Q

What does exstasy do to the body

A

Raise body temp, seizures