Drug Therapy For Substace Abuse Flashcards
What is substance abuse?
Maladaptive pattern of substance use, leading to clinically significant impairment or distress
Involves self administration of drug for prolonged periods, or an excessive amounts
There is no cure for addiction
What is psychological dependence?
Overwhelming desire to repeat drug use: either to produce pleasure or avoid the discomfort
Define intoxication
Reversible substance specific syndrome caused by recent ingestion, or exposure to a substance
What is physical dependence?
Chronic use of a drug to avoid withdrawal symptoms
Define withdrawal
Unpleasant symptoms when drug is stopped
Define tolerance
Increased doses are required to achieve desired effects
What is the drug of choice to treat alcohol withdrawal
Benzodiazepine
What the prototype of benzodiazepine for treatment of alcohol withdrawal
Chlordiazepoxide
Nursing considerations for chlordiazepoxide
Goal is to take drug while abstaining from alcohol to reduce withdrawal symptoms
BBW for combined use with opioids
What is the reversal agent for benzodiazepine?
Flumazenil
BBW for flumazenil
Risk of seizures
What is disulfiram?
Maintain state of alcohol sobriety
Nursing considerations for disulfiram
If patient consumes alcohol, side effects may include:
Headache, chest pain, seizures, N/V heart failure, myocardial infarction, death
BBW:
Patient must know what they are taking this medication
Not for patients who consumed alcohol in past 12 hours, or patients with heart conditions
How do you treat opioid abuse?
With an opioid agonist
What is the prototype opioid agonist for treating opiate abuse?
Methadone
