HBM 09a: Smoking, EtOH, Caffeine Flashcards
(X)% of all cigarettes are smoked by adults with mental illness.
X = 31
(X)% of schizophrenia patients are heavy smokers.
X = 85
On average, it takes an individual (X) attempts to quit smoking for one year.
X = 30
T/F: All patients should be screened for tobacco use, advised to quit, and offered intervention.
True
What are the 5 major steps to intervention for tobacco use?
The 5 A’s
- Ask
- Advise
- Assess
- Assist
- Arrange
With help from clinician, odds of quitting tobacco use (increases/decreases) by factor of (X).
Increases;
X = 2
List the three general tools used to help cessation of tobacco use.
- Medication
- Nicotine replacement therapy
- Therapeutic interventions (counseling)
List a medication that’s approved for smoking cessation.
Bupropion (Zyban)
Maladaptive pattern of substance use, leading to impairment of occupational, physical, social functioning.
Substance misuse
To qualify for substance use disorder: at least (X) number of specific symptoms must be present over (Y) period of time
X = 2 Y = 12-month
Severity of substance use disorder is based on:
number of symptoms endorsed
Substance dependence is best defined as:
substance misuse PLUS withdrawal, tolerance, or pattern of compulsive use
T/F: You can be dependent on a drug and not have a disorder.
True
Which drug causes the most harm?
Alcohol
Delirium tremens are present on (X) day of (Y) (addiction/withdrawal).
X = 3rd
Y = EtOH
Withdrawal
T/F: Alcohol withdrawal is very uncomfortable, but not life-threatening.
False - mortality rate in alcohol withdrawal delirium is 20%
Alcohol (increases/suppresses) which NT?
- Increases GABA
2. Suppresses Glu
T/F: Evidence of brain damage from alcohol use exists.
True
(X) syndrome is seen in alcoholics, and is a result of (Y).
X = wernicke-korsakoff Y = Vit B1 (thiamine) deficiency
List the diagnostic developmental features of FAS.
- Fetal growth retardation
- Cognitive/behavioral problems
- Learning difficulties
List the diagnostic physical (facial) features of FAS.
- Skin folds at eyes
- Low nasal bridge
- Small head circumference
- Small mid face
- Thin upper lip
(Men/women) who drink face greater risk of developing diseases related to alcohol abuse.
Women
(X)% of Americans report binge-drinking in past month.
X = 23
A woman’s “binge drink” is (X) drinks in (Y) hours.
X = 4 or more Y = 2
(X)% of alcohol consumed by youth under 21 in US is in the form of binge drinks.
X = 90
T/F: Alcohol causes aggression in typical person.
False - but increases likelihood of impulsive/impaired action
First step in treating alcohol dependence:
4-7 days inpatient for detox/withdrawal
Which meds are used for alcohol dependence treatment?
- Antabuse
2. Naltrexone
Which counseling/support is recommended for alcohol dependence treatment?
- Psych counseling (Family/couples therapy)
2. Support groups (AA)
Most commonly used psychoactive substance:
Caffeine
Moderate caffeine doses (in mgs and cups)
200-300 mg (2-3 cups)
T/F: Heavy doses of caffeine cause drowsiness.
True
Heavy caffeine doses (in mgs and cups)
500-600 mg (4 cups or more)
Emergency treatment of DTs includes:
- Oral/intravenous fluids for dehydration
2. Benzodiazepines for withdrawal symptoms
