Substance Abuse Flashcards

1
Q

Most people who started using drugs knew what they were getting into

A

False

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2
Q

Addiction is a disease

A

True

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3
Q

There is no cure for addiction

A

True

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4
Q

Symptoms of withdrawal

A

Anxiety, irritability, restlessness, insomnia, fatigue

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5
Q

Physiological symptoms of alcohol intoxication

A

Slurring of speech, poor coordination, impaired memory, stupor, coma

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6
Q

Behavioral symptoms of alcohol intoxication

A

Inappropriate behavior

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7
Q

Intoxication can happen with __ __ use

A

one time

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8
Q

Recent overuse of substance that results in reversible substance-specific syndrome

A

intoxication

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9
Q

DSM-5 mild alcohol use disorder

A

2-3 symptoms within 12 months

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10
Q

Moderate alcohol use disorder

A

4-5 symptoms within 12 months

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11
Q

Severe alcohol use disorder

A

6-11 symptoms within 12 months

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12
Q

Adults with alcohol use disorder #

A

16 million

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13
Q

__ US adults drink at levels that increase risk for alcohol use disorder

A

30%

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14
Q

Alcohol use disorder in youth #

A

700,000

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15
Q

__% of youth have alcohol use disorder

A

6%

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16
Q

Peak alcohol consumption age

A

21-25

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17
Q

__% of young adults are heavy drinkers

A

7%

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18
Q

Binge drinking for males

A

greater than 5 drinks

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19
Q

Binge drinking for females

A

greater than 4 drinks

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20
Q

Alcohol is the…

A

4th leading cause of preventable deaths in the United States

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21
Q

Alcohol accounts for __% of overall driving fatalities

A

31%

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22
Q

A standard drink is…

A

12 oz beer
8 oz liquor
5 oz wine
1.5 oz shot

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23
Q

Moderate drinking for women

A

1 drink per day

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24
Q

Moderate drinking for men

A

2 drinks per day

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25
Q

Heavy drinkers…

A

5 drinks or more in 1 occasion and

5 occasions or more per month

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26
Q

Intoxication BAC

A

0.08% or higher

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27
Q

Drivers under age 21 are considered intoxicated at

A

0.02% BAC or higher

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28
Q

Commercial vehicle drivers are considered intoxicated at…

A

0.04% BAC

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29
Q

.02 BAC symptoms

A

Relaxation, slight body warmth

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30
Q

.05 bAC Symptoms

A

Sedation, slowed reaction time

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31
Q

.10 BAC symptoms

A

Slurred speech, poor coordination, slowed thinking

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32
Q

0.2 BAC symptoms

A

trouble walking, double vision, nausea, vomiting

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33
Q

0.3 BAC symptoms

A

may pass out, tremors, memory loss, cool body temperature

34
Q

0.4 BAC symptoms

A

trouble breathing, coma, possible death

35
Q

0.5 BAC symptoms

A

certain death

36
Q

Binge drinking BAC

A

.08

37
Q

Alcohol affects your…

A

brain, heart, liver, pancreas

38
Q

Alcohol increases the risk of cancer types…

A

mouth, esophagus, throat, liver, breast

39
Q

SBIRT

A

Screening
Brief intervention
Brief treatment
Referral

40
Q

Brief, identifies substance related problems

A

screenings

41
Q

Raises awareness of risks and motivates patients to acknowledge and address problem

A

Brief intervention of 1-2 session of 5-8 minutes

42
Q

CBT/MET with patients with increased risk or early dependence

A

Brief treatment, 2-6 sessions of 30 minutes

43
Q

Referral for

A

specialized treatment services

44
Q

Questionnaire for detecting alcoholism

A

AUDIT-C

45
Q

AUDIT-C is scored on a scale

A

0-12

46
Q

AUDIT-C score for men

A

4 or higher is positive for alcoholism

47
Q

AUDIT-C score for women

A

3 or higher is positive for alcoholism

48
Q

CAGE is used for patients that are

A

admitted to the hospital

49
Q

CAGE stands for

A

C- have you tried to cut down?
A- are you annoyed by criticism?
G- do you feel guilty for drinking?
E- do you drink early in the morning, use it as an eye opener?

50
Q

CAGE score of 4

A

indicated alcoholism

51
Q

What is the antidote for alcohol?

A

There is none

52
Q

Alcohol intoxication nursing care

A

ABCs, vitals, LOC, supportive care

53
Q

Alcohol withdrawal symptom onset

A

4-6 hours after last drink

54
Q

Serious complication of alcohol withdrawal syndrome

A

Alcohol withdrawal delirium

55
Q

Alcohol withdrawal delirium can be

A

fatal

56
Q

Alcohol withdrawal delirium is controlled by

A

benzodiazepines

57
Q

Number of pregnant women who consume 1 drink in the USA

A

1 in 10

58
Q

% of women who drink during pregnancy

A

20-30%

59
Q

Stimulants raise…

A

blood pressure, heart rate, respiratory rate

60
Q

Combination of cocaine and heroine

A

Speedball

61
Q

Cocaine users usually experience…

A

Euphoria, energy, confidence, alertness, and sexual arousal

62
Q

Coming down from cocaine users usually experience…

A

Restlessness, anxiety, agitation, irritability, insomnia

63
Q

Progressive use of cocaine lessens positive effects and users feel

A

sad, depressed mood

64
Q

Men are __ more likely to use cocaine than women

A

2x

65
Q

Cocaine increases __ (related to control of movement and reward)

A

Dopamine

66
Q

Treatment for cocaine

A

there are no government approved medications currently available

67
Q

Prolonged methamphetamine use may modify behavior and change the brain in..,

A

fundamental and long lasting ways

68
Q

Cocaine causes a huge increase in

A

blood pressure which is a huge risk for stroke

69
Q

Nursing care for stimulants overdose

A

occurs frequently, no antidotes, and death possible

70
Q

Stimulant withdrawal care

A

monitor VS, safe environment, medications to manage withdrawal symptoms

71
Q

Death from stimulants occurs from

A

Stroke, dysrrhythmia, MI

72
Q

Barbiturates (phenobarbital): __ may prevent CNS damage and death

A

dialysis

73
Q

__ and __ is used if barbiturate taken orally within the last hour

A

gastric lavage and activated charcoal

74
Q

Benzodiazipine (xanax, klonopin, valium) antagonist

A

Romazicon (flumazenil)

75
Q

Benzo OD can cause

A

seizures

76
Q

Reverse effect of opioids

A

naloxone

77
Q

Additive of heroine can clog

A

blood vessels

78
Q

Opioids in high doses can cause

A

Respiratory depression and death

79
Q

Opioid over dose triad

A

pinpoint pupils, unconsciousness, and respiratory depression

80
Q

Drug of choice to decrease symptoms during opioid detoxification

A

methadone