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Mental Health Lecture > Exam 4 > Flashcards

Exam 4 Flashcards

1
Q

Definition of substance use disorder

A

Pathological use of a substance that leads to a disorder of use

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2
Q

What are the four major groups that symptoms of substance use disorders fall into?

A

Impaired control
Social impairment
Risky use
Physical effects (Intoxication, tolerance, withdrawal)

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3
Q

What is an addiction?

A

A chronic medical condition

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4
Q

What is intoxication?

A

In the process of using a substance to excess

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5
Q

Schedule 1 drugs potential for abuse

A

High potential for abuse
No acceptable medical uses

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6
Q

Schedule 2 drugs potential for abuse

A

High potential for abuse
Considered dangerous
Only available by prescription

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7
Q

Schedule 3 drugs potential for abuse

A

Low to moderate potential for abuse
Only available by prescription

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8
Q

Schedule 4 drugs risk for abuse

A

Low risk drugs
Available by prescription

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9
Q

Schedule 5 drugs risk for abuse

A

Contain very limited quantities of narcotics
Available over the counter

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10
Q

Examples of schedule 1 drugs

A

Heroin
LSD

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11
Q

Examples of schedule 2 drugs

A

Methadone
Demerol
Ritalin

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12
Q

Examples of schedule 3 drugs

A

Testosterone
Suboxone
Tylenol with codeine

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13
Q

Examples of schedule 4 drugs

A

Xanax
Ativan
Darvocet

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14
Q

Examples of schedule 5 drugs

A

Lomotil
Roubitussin AC

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15
Q

What is death from opioid overdose caused by?

A

Usually due to respiratory distress

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16
Q

Treatment for opioid overdose

A

Promote breathing
Naloxone

17
Q

Medications used for opioid withdrawal

A

Methadone
Clonidine
Buprenorphine/naloxone
Lofexidine

18
Q

What types of overdoses is gastric lavage used for?

A

Sleeping medications
Antianxiety drugs

19
Q

How should a pt withdrawal from sedative, hypnotic, and antianxiety medications? Why?

A

Gradual reduction to prevent seizures

20
Q

Withdrawal treatment for stimulant use disorders

A

Group and individual therapy
Possible diazepam for agitation
1-2 weeks’ cocaine withdrawal requires no inpatient care
No drugs reduce symptoms
Depression treatment once withdrawal is complete (ex: bupropion)

21
Q

Withdrawal treatment for tobacco

A

Behavioral therapy
Hypnosis
Nicotine replacement therapies

22
Q

Medications used for nicotine replacement therapy

A

Bupropion or verenicline

23
Q

Treatment for gambling disorder

A

Gamblers anonymous
Possibly:
- SSRIs
- bupropion (Wellbutrin)
- mood stabilizers
- anticonvulsants

24
Q

How is alcohol use disorder severity determined?

A

Based on number of DSM-V symptoms.
2-3 = mild
4-5 = moderate
5+ = severe

25
Q

Who are more likely to have an alcohol use disorder?

A

Men
American Indians/ Alaskan natives

26
Q

What is binge drinking?

A

Drinking too much alcohol too quickly

27
Q

How many drinks in men/women is considered binge drinking?

A

Women: 4+ in 2 hours
Men: 5+ in 2 hours

28
Q

What is heavy drinking?

A

Drinking too much too often

29
Q

What amount of drinks in men/women is considered heavy drinking?

A

Women: 8+ in one week
Men: 14+ in one week

30
Q

Legal definition of alcohol concentration in most states

A

Blood concentration of 80-100mg ethanol per deciliter of blood
(0.08-0.10 g/dL)

31
Q

Symptoms of alcohol withdrawal

A

N & V
Increased BP
Delirium tremons (can produce seizures)

32
Q

What is Wernicke-Korsakoff syndrome?

A

Due to lack of thiamine
Pt is ataxic, incoordinated.
Look drunk while sober, memory issues
Can be corrected if permanent damage has not been caused

33
Q

What should you ask every patient that you admit to the hospital?

A

How much they drink per week
Want to find out if there is potential for withdrawal so we can appropriately treat the patient

34
Q

Use of disulfiram

A

For alcohol disorder
Caused pt to throw up when they take a sip of alcohol

35
Q

What is naltrexone used for?

A

Helps reduce the craving for alcohol

36
Q

What are benzodiazepines used for when treating alcohol disorders?

A

To reduce withdrawal symptoms and risk of seizures

37
Q

What are the stages in the trans theoretical stages of change theory?

A

Precontemplation
Contemplation
Preparation
Action
Maintenance

Mental Health Lecture (5 decks)

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