Substance Abuse Flashcards

1
Q

What is substance abuse?

A

The use of any chemical in a fashion inconsistent with the medical or culturally defined social norms

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2
Q

When does substance dependence occur?

A

When the individual can no longer control the use of the substance, continues to use despite AE’s, and experiences withdrawal effects without continued use of the drug.

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3
Q

What happens to tolerance as it pertains to substance abuse?

A

Tolerance continues to grow. You need more and more.

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4
Q

What does the complex, multifactorial process of substance abuse involve?

A

Biological, genetic, psychological and sociocultural factors

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5
Q

What happens to brain neurotransmissions after repeated detoxifications?

A

Long term changes in neurotransmissions.

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6
Q

What two things are increased with repeated detoxifications?

A

Neuron sensitivity increases, cravings for the substance increases

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7
Q

Humans seek ________, avoid ______ and _____.

A

Pleasure, stress, pain.

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8
Q

Is illicit drug use on the rise or has use declined in recent years?

A

Illicit drug use is on the rise

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9
Q

What are the risk factors of substance abuse?

A
  • being male
  • loneliness, depression, low self-esteem
  • family history of addiction
  • peer pressure
  • presence of mental illness
  • lack of family involvement
  • using highly addictive drugs
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10
Q

When nursing is impaired what are things that help keep clients safe?

A
  • do not ignore poor performance
  • do not lighten or change the nurses’ client assignment
  • do not accept excuses
  • Do not allow yourself to be manipulated or fear confronting a nurse of client safety is in jeopardy
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11
Q

Why are nurses at a high risk for substance abuse?

A

Because of frequent contact with drugs

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12
Q

What do clinical manifestations depend on?

A

-amount, frequency, specific combinations of substances used

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13
Q

How many mg of caffeine is considered excessive?

A

600 mg

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14
Q

What does caffeine act as?

A

A diuretic

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15
Q

What is the action of caffeine?

A

Increases heart rate, and has other negative cardiac effects

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16
Q

What is another name for cannabis?

A

Marijuana

17
Q

What are the actions of marijuana?

A

May act like an opioid and cause release of endogenous edorphins and dopamine

18
Q

Effects of the marijuana depend on what?

A

The amount taken

19
Q

What type of behaviors come with chronic long-term use?

A

A motivational behaviors

20
Q

What are some types of CNS depressants?

A

Barbiturates, benzodiazepines, paraldehyde, meprobamate, and chloracne hydrate

21
Q

With CNS drugs there is a huge risk of what?

A

Overdose and death

22
Q

Barbiturates can have what progression when used incorrectly?

A

Mild sedation - sleep - coma - death

23
Q

Are Benzodiazepines safer then barbiturates?

A

Yes, in that an overdose is less