Self Esteem and Drug Abuse Lecture Powerpoint Flashcards
Rosenberg’s self esteem scale
10 questionnaire to help determine if very high self esteem vs low self esteem
Self esteem definition
Experience of being capable to meet life’s challenges and being worthy of happiness
3 components of self esteem
- 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)
Global vs situational self esteem
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
Self esteem is not….
- arrogance
- egocentrism
- narcissism
- boasting or bragging
-these are often defense tactics to those with lack of self esteem or pseudo self esteem
Pseudo self esteem
When an individual falsely lowers their own status in order to receive appreciation and sympathy from others
Role of self esteem in pediatrics
Central issue as children develop cognitive ability to consider their own self evaluations and perception of how others see them
Problems associated with low self esteem (4)
- drug abuse
- social isolation
- suicide
- low academic performance
Self esteem mech of action
-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
Largest drug use surge among youth has been with… (2)
- marijuana vaping
- nicotine vaping
Substances with declining prevalence of abuse among pediatrics (3)
- prescription opioids
- amphetamines
- cigarettes
“traditional” pattern of drug abuse
Less modern theorized progression of drug use going from experimentation with cigarettes and alcohol, progression to marijuana, then to cocaine, opioids, and hallucinogens
“Modern” pattern of drug abuse
More modern theorized progression of drug use going from prescription narcotis (prescribed, purchase, or stolen), progressing to heroin and other hard drugs
Tobacco use trends among youth
Declining overall, education has helped limit
E-cigs/vaporizers trends among youth**
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
What drug kills more teens than any other illicit drug? What does it do to the brain?
Alcohol, can interfere with normal brain development
What drugs are commonly used for alcohol withdrawl
benzodiazepines
Active substance in marijuana and how long does it remain in the blood? What is the concern about edibles?
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
Short term and chronic use of marijuana in the developing brain
- short term will see impairment of acquisition of short term memory
- long term associated with subtle impairment in cognitive function particularly in children
Respiratory effects of mild, moderate, and heavy marijuana use
Mild likely no effect
Moderate may actually improve lung function
Heavy impairs lung function
Synthetic marijuana
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
Cocaine mech of action
Stimulates CNS creating temporary feeling of euphoria and energy, sees dilating pubpils increasing blood pressure, diaphoresis, depression (relative dopamine depletion)
Treatment for cocaine use in the ER (4)
- monitoring
- IV fluids
- sedation with lorazepam
- substance abuse counseling
PCP (angel dust) signs and symptoms (3)
- hallucinations
- ready to fight attitude
- paranoia
Treatment for PCP in the ER (3)
- supportive
- benzodiazepines to relax
- pump stomach if early in ingestion
Ecstasy signs and symptoms (3)
- energetic
- happy euphoric glow
- emotional warmth
Treatment for ecstasy in the ER (4)
- activated charcoal
- benzodiazepines
- nitroprusside (emergency lowering of BP)
- fluids
Heroin signs and symptoms (4)
- somnolence
- decreased BP
- respiratory suppression
- small pupils
Treatment of heroin, oxycontin, oxycodone, etc. overdose
Naloxone
Signs and symptoms of heroin withdrawal (3)
- Hot/cold flash
- malaise
- sweats
Treatment of withdrawal symptoms in heroin patients
- suboxone
- methadone