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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
Heavy drinkers...
5 drinks or more in 1 occasion and | 5 occasions or more per month
26
Intoxication BAC
0.08% or higher
27
Drivers under age 21 are considered intoxicated at
0.02% BAC or higher
28
Commercial vehicle drivers are considered intoxicated at...
0.04% BAC
29
.02 BAC symptoms
Relaxation, slight body warmth
30
.05 bAC Symptoms
Sedation, slowed reaction time
31
.10 BAC symptoms
Slurred speech, poor coordination, slowed thinking
32
0.2 BAC symptoms
trouble walking, double vision, nausea, vomiting
33
0.3 BAC symptoms
may pass out, tremors, memory loss, cool body temperature
34
0.4 BAC symptoms
trouble breathing, coma, possible death
35
0.5 BAC symptoms
certain death
36
Binge drinking BAC
.08
37
Alcohol affects your...
brain, heart, liver, pancreas
38
Alcohol increases the risk of cancer types...
mouth, esophagus, throat, liver, breast
39
SBIRT
Screening Brief intervention Brief treatment Referral
40
Brief, identifies substance related problems
screenings
41
Raises awareness of risks and motivates patients to acknowledge and address problem
Brief intervention of 1-2 session of 5-8 minutes
42
CBT/MET with patients with increased risk or early dependence
Brief treatment, 2-6 sessions of 30 minutes
43
Referral for
specialized treatment services
44
Questionnaire for detecting alcoholism
AUDIT-C
45
AUDIT-C is scored on a scale
0-12
46
AUDIT-C score for men
4 or higher is positive for alcoholism
47
AUDIT-C score for women
3 or higher is positive for alcoholism
48
CAGE is used for patients that are
admitted to the hospital
49
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?
50
CAGE score of 4
indicated alcoholism
51
What is the antidote for alcohol?
There is none
52
Alcohol intoxication nursing care
ABCs, vitals, LOC, supportive care
53
Alcohol withdrawal symptom onset
4-6 hours after last drink
54
Serious complication of alcohol withdrawal syndrome
Alcohol withdrawal delirium
55
Alcohol withdrawal delirium can be
fatal
56
Alcohol withdrawal delirium is controlled by
benzodiazepines
57
Number of pregnant women who consume 1 drink in the USA
1 in 10
58
% of women who drink during pregnancy
20-30%
59
Stimulants raise...
blood pressure, heart rate, respiratory rate
60
Combination of cocaine and heroine
Speedball
61
Cocaine users usually experience...
Euphoria, energy, confidence, alertness, and sexual arousal
62
Coming down from cocaine users usually experience...
Restlessness, anxiety, agitation, irritability, insomnia
63
Progressive use of cocaine lessens positive effects and users feel
sad, depressed mood
64
Men are __ more likely to use cocaine than women
2x
65
Cocaine increases __ (related to control of movement and reward)
Dopamine
66
Treatment for cocaine
there are no government approved medications currently available
67
Prolonged methamphetamine use may modify behavior and change the brain in..,
fundamental and long lasting ways
68
Cocaine causes a huge increase in
blood pressure which is a huge risk for stroke
69
Nursing care for stimulants overdose
occurs frequently, no antidotes, and death possible
70
Stimulant withdrawal care
monitor VS, safe environment, medications to manage withdrawal symptoms
71
Death from stimulants occurs from
Stroke, dysrrhythmia, MI
72
Barbiturates (phenobarbital): __ may prevent CNS damage and death
dialysis
73
__ and __ is used if barbiturate taken orally within the last hour
gastric lavage and activated charcoal
74
Benzodiazipine (xanax, klonopin, valium) antagonist
Romazicon (flumazenil)
75
Benzo OD can cause
seizures
76
Reverse effect of opioids
naloxone
77
Additive of heroine can clog
blood vessels
78
Opioids in high doses can cause
Respiratory depression and death
79
Opioid over dose triad
pinpoint pupils, unconsciousness, and respiratory depression
80
Drug of choice to decrease symptoms during opioid detoxification
methadone

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