Substance Abuse Flashcards
Most people who started using drugs knew what they were getting into
False
Addiction is a disease
True
There is no cure for addiction
True
Symptoms of withdrawal
Anxiety, irritability, restlessness, insomnia, fatigue
Physiological symptoms of alcohol intoxication
Slurring of speech, poor coordination, impaired memory, stupor, coma
Behavioral symptoms of alcohol intoxication
Inappropriate behavior
Intoxication can happen with __ __ use
one time
Recent overuse of substance that results in reversible substance-specific syndrome
intoxication
DSM-5 mild alcohol use disorder
2-3 symptoms within 12 months
Moderate alcohol use disorder
4-5 symptoms within 12 months
Severe alcohol use disorder
6-11 symptoms within 12 months
Adults with alcohol use disorder #
16 million
__ US adults drink at levels that increase risk for alcohol use disorder
30%
Alcohol use disorder in youth #
700,000
__% of youth have alcohol use disorder
6%
Peak alcohol consumption age
21-25
__% of young adults are heavy drinkers
7%
Binge drinking for males
greater than 5 drinks
Binge drinking for females
greater than 4 drinks
Alcohol is the…
4th leading cause of preventable deaths in the United States
Alcohol accounts for __% of overall driving fatalities
31%
A standard drink is…
12 oz beer
8 oz liquor
5 oz wine
1.5 oz shot
Moderate drinking for women
1 drink per day
Moderate drinking for men
2 drinks per day
Heavy drinkers…
5 drinks or more in 1 occasion and
5 occasions or more per month
Intoxication BAC
0.08% or higher
Drivers under age 21 are considered intoxicated at
0.02% BAC or higher
Commercial vehicle drivers are considered intoxicated at…
0.04% BAC
.02 BAC symptoms
Relaxation, slight body warmth
.05 bAC Symptoms
Sedation, slowed reaction time
.10 BAC symptoms
Slurred speech, poor coordination, slowed thinking
0.2 BAC symptoms
trouble walking, double vision, nausea, vomiting
0.3 BAC symptoms
may pass out, tremors, memory loss, cool body temperature
0.4 BAC symptoms
trouble breathing, coma, possible death
0.5 BAC symptoms
certain death
Binge drinking BAC
.08
Alcohol affects your…
brain, heart, liver, pancreas
Alcohol increases the risk of cancer types…
mouth, esophagus, throat, liver, breast
SBIRT
Screening
Brief intervention
Brief treatment
Referral
Brief, identifies substance related problems
screenings
Raises awareness of risks and motivates patients to acknowledge and address problem
Brief intervention of 1-2 session of 5-8 minutes
CBT/MET with patients with increased risk or early dependence
Brief treatment, 2-6 sessions of 30 minutes
Referral for
specialized treatment services
Questionnaire for detecting alcoholism
AUDIT-C
AUDIT-C is scored on a scale
0-12
AUDIT-C score for men
4 or higher is positive for alcoholism
AUDIT-C score for women
3 or higher is positive for alcoholism
CAGE is used for patients that are
admitted to the hospital
CAGE stands for
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?
CAGE score of 4
indicated alcoholism
What is the antidote for alcohol?
There is none
Alcohol intoxication nursing care
ABCs, vitals, LOC, supportive care
Alcohol withdrawal symptom onset
4-6 hours after last drink
Serious complication of alcohol withdrawal syndrome
Alcohol withdrawal delirium
Alcohol withdrawal delirium can be
fatal
Alcohol withdrawal delirium is controlled by
benzodiazepines
Number of pregnant women who consume 1 drink in the USA
1 in 10
% of women who drink during pregnancy
20-30%
Stimulants raise…
blood pressure, heart rate, respiratory rate
Combination of cocaine and heroine
Speedball
Cocaine users usually experience…
Euphoria, energy, confidence, alertness, and sexual arousal
Coming down from cocaine users usually experience…
Restlessness, anxiety, agitation, irritability, insomnia
Progressive use of cocaine lessens positive effects and users feel
sad, depressed mood
Men are __ more likely to use cocaine than women
2x
Cocaine increases __ (related to control of movement and reward)
Dopamine
Treatment for cocaine
there are no government approved medications currently available
Prolonged methamphetamine use may modify behavior and change the brain in..,
fundamental and long lasting ways
Cocaine causes a huge increase in
blood pressure which is a huge risk for stroke
Nursing care for stimulants overdose
occurs frequently, no antidotes, and death possible
Stimulant withdrawal care
monitor VS, safe environment, medications to manage withdrawal symptoms
Death from stimulants occurs from
Stroke, dysrrhythmia, MI
Barbiturates (phenobarbital): __ may prevent CNS damage and death
dialysis
__ and __ is used if barbiturate taken orally within the last hour
gastric lavage and activated charcoal
Benzodiazipine (xanax, klonopin, valium) antagonist
Romazicon (flumazenil)
Benzo OD can cause
seizures
Reverse effect of opioids
naloxone
Additive of heroine can clog
blood vessels
Opioids in high doses can cause
Respiratory depression and death
Opioid over dose triad
pinpoint pupils, unconsciousness, and respiratory depression
Drug of choice to decrease symptoms during opioid detoxification
methadone