Self Esteem and Drug Abuse Lecture Powerpoint

Question 1

Rosenberg’s self esteem scale

Answer 1

10 questionnaire to help determine if very high self esteem vs low self esteem

Question 2

Self esteem definition

Answer 2

Experience of being capable to meet life’s challenges and being worthy of happiness

Question 3

3 components of self esteem

Answer 3

• cognitive (consideration of discrepency between ideal and perceived self)
• affective (feelings or emotions one has considering that discrepancy)
• behavioral (manifest as a result of previous 2)

Question 4

Global vs situational self esteem

Answer 4

Global is generally stable and relatively constant regardless of time and space and reflects overall vs fluctuating self esteem dependent on circumstances of that particular day or moment but not reflective of the overall global form

Question 5

Self esteem is not….

Answer 5

• arrogance
• egocentrism
• narcissism
• boasting or bragging

-these are often defense tactics to those with lack of self esteem or pseudo self esteem

Question 6

Pseudo self esteem

Answer 6

When an individual falsely lowers their own status in order to receive appreciation and sympathy from others

Question 7

Role of self esteem in pediatrics

Answer 7

Central issue as children develop cognitive ability to consider their own self evaluations and perception of how others see them

Question 8

Problems associated with low self esteem (4)

Answer 8

• drug abuse
• social isolation
• suicide
• low academic performance

Question 9

Self esteem mech of action

Answer 9

-prefrontal cortex, responsible for higher order cognitive process and executive functioning (allows an individual to pause, evaluate, plan, and execute) is not developed until well into adulthood (25 years of age) therefore adolescents are more prone to behaviors such as novelty seeking, risk taking, and peer pressure

Question 10

Largest drug use surge among youth has been with… (2)

Answer 10

• marijuana vaping

- nicotine vaping

Question 11

Substances with declining prevalence of abuse among pediatrics (3)

Answer 11

• prescription opioids
• amphetamines
• cigarettes

Question 12

“traditional” pattern of drug abuse

Answer 12

Less modern theorized progression of drug use going from experimentation with cigarettes and alcohol, progression to marijuana, then to cocaine, opioids, and hallucinogens

Question 13

“Modern” pattern of drug abuse

Answer 13

More modern theorized progression of drug use going from prescription narcotis (prescribed, purchase, or stolen), progressing to heroin and other hard drugs

Question 14

Tobacco use trends among youth

Answer 14

Declining overall, education has helped limit

Question 15

E-cigs/vaporizers trends among youth**

Answer 15

Aerosolizes liquid or plant material in order to release chemicals theoretically reducing number of harmful chemicals inhaled in comparison to combustion based forms but has not been studied!!! in 2019 significant association was identified between THC cnotaining vaping products with vit E acetate additives and vaping associated pulmonary injury*** mostly bought off street

Question 16

What drug kills more teens than any other illicit drug? What does it do to the brain?

Answer 16

Alcohol, can interfere with normal brain development

Question 17

What drugs are commonly used for alcohol withdrawl

Answer 17

benzodiazepines

Question 18

Active substance in marijuana and how long does it remain in the blood? What is the concern about edibles?

Answer 18

THC, for up to weeks and months after use unlike something like alcohol, can see sudden spikes in blood plasma conc levels due to uneven absorption

Question 19

Short term and chronic use of marijuana in the developing brain

Answer 19

• short term will see impairment of acquisition of short term memory
• long term associated with subtle impairment in cognitive function particularly in children

Question 20

Respiratory effects of mild, moderate, and heavy marijuana use

Answer 20

Mild likely no effect
Moderate may actually improve lung function
Heavy impairs lung function

Question 21

Synthetic marijuana

Answer 21

Contains herbal materials that have been sprayed with one or more of the designer chemicals of the cannibinoid family, formerly widely avaialbe before regulation as a schedule drug, where possession and sale no longer legal for most commonly used chemicals, however chemists and marketer/retailers keep one step ahead of the list of banned chemicals

Question 22

Cocaine mech of action

Answer 22

Stimulates CNS creating temporary feeling of euphoria and energy, sees dilating pubpils increasing blood pressure, diaphoresis, depression (relative dopamine depletion)

Question 23

Treatment for cocaine use in the ER (4)

Answer 23

• monitoring
• IV fluids
• sedation with lorazepam
• substance abuse counseling

Question 24

PCP (angel dust) signs and symptoms (3)

Answer 24

• hallucinations
• ready to fight attitude
• paranoia

Question 25

Treatment for PCP in the ER (3)

Answer 25

• supportive
• benzodiazepines to relax
• pump stomach if early in ingestion

Question 26

Ecstasy signs and symptoms (3)

Answer 26

• energetic
• happy euphoric glow
• emotional warmth

Question 27

Treatment for ecstasy in the ER (4)

Answer 27

• activated charcoal
• benzodiazepines
• nitroprusside (emergency lowering of BP)
• fluids

Question 28

Heroin signs and symptoms (4)

Answer 28

• somnolence
• decreased BP
• respiratory suppression
• small pupils

Question 29

Treatment of heroin, oxycontin, oxycodone, etc. overdose

Answer 29

Naloxone

Question 30

Signs and symptoms of heroin withdrawal (3)

Answer 30

• Hot/cold flash
• malaise
• sweats

Question 31

Treatment of withdrawal symptoms in heroin patients

Answer 31

• suboxone

- methadone