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CK PSych > SUBSTANCE ABUSE AND ADDICTION > Flashcards

SUBSTANCE ABUSE AND ADDICTION Flashcards

1
Q

negative behavioral, cognitive, and/or physiologic symptoms

due to use of a substance, yet use continues despite these adverse consequences

A

Substance use disorder

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2
Q

reversible substance-specific syndrome due to recent use of a substance

A

Intoxication:

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3
Q

_______ substance-specific behavioral, cognitive, and/or physiologic change due
to the cessation or reduction in heavy or prolonged substance use

A

Withdrawal:

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4
Q

Dev Hx of pts with substance use DO

A

Poor parenting, childhood physical or sexual abuse, and permissive
attitudes toward drug use.

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5
Q

Psychiatric disturbances in pts with substance use DO:

A

Conduct disorder, ADHD, depression, and low self-esteem.

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6
Q

What is the CAGE test for alcoholism

A

• Have you ever felt that you should cut down your drinking?
• Have you ever felt annoyed by others who have criticized your drinking?
• Have you ever felt guilty about your drinking?
• Have you ever had a morning drink (eye-opener) to steady your nerves or alleviate
a hangover?

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7
Q

Tx of alcholism

medications that work on the reward center, such as

A

naltrexone, varenicline, and bupropion.

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8
Q

Behavioral modification techniques for alcholism:

A

disulfiram (aversive conditioning), patch, gum,

inhaler (fading)

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9
Q

Tx of alcholism
______ typically 5-10 days, provide medications to assure safe withdrawal
from substances

A

Detoxification units:

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10
Q

Blood alcohol level

______Thought, judgment, and restraint are
loosened and disrupted

A

0.05%

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11
Q

Blood alcohol level

Motor actions become clumsy

A

0.1%

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12
Q

Blood alcohol level

  • Motor area of the brain is depressed
  • Emotional behavior is affected
A

0.2%

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13
Q

Blood alcohol level

Confused or stuporous

A

0.3%

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14
Q

Blood alcohol level

• Coma
• At higher levels, death may occur due
to respiratory depression

A

0.4–0.5%

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15
Q

Signs and Symptoms of Intoxication

Amphetamines, cocaine

A 
Euphoria, hypervigilance,
autonomic hyperactivity,
weight loss, papillary
dilatation, perceptual
disturbances
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16
Q

Treatment of Intoxication

Amphetamines, cocaine

A

Short-term use of antipsychotics, benzodiazepines, vitamin C to promote
excretion in urine, anti-hypertensives

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17
Q

Signs and Symptoms of Withdrawal

Amphetamines, cocaine

A

Anxiety, tremulousness, headache, increased

appetite, depression, risk of suicide

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18
Q

Treatment of Withdrawal

Amphetamines, cocaine

A

Antidepressant

19
Q

Signs and Symptoms of Intoxication

Anabolic steroids

A

Irritability, aggression, mood changes, psychosis, heart problems, liver problems, etc.

20
Q

Signs and Symptoms of Withdrawal

Anabolic steroids

A

Depression, risk of

suicide

21
Q

TX of Withdrawal

Anabolic steroids

A

SSRIs

22
Q

Signs and Symptoms of Intoxication

Bath salts

A

Headache, palpitations, hallucinations, paranoia, violence, increased heart
rate and blood pressure

23
Q

Treatment of Intoxication

Bath salts

A

Supportive, benzodiazepines

24
Q

Signs and Symptoms of Intoxication

Benzodiazepines

A

Inappropriate sexual or aggressive behavior,

impairment in memory or concentration

25
Q

TX of Intoxication

Benzodiazepines

A

Flumazenil

26
Q

Signs and Symptoms of Withdrawal

BZD

A

Autonomic hyperactivity,
tremors, insomnia,
seizures, anxiety

27
Q

Tx of Signs and Symptoms of Withdrawal from BZD

A

Benzodiazepines

28
Q

Signs and Symptoms of Intoxication

Cannabis

A

Impaired motor coordination, slowed
sense of time, social withdrawal, conjunctival
injection, increased appetite, dry mouth,
tachycardia

29
Q

Tx of Intoxication/Withdrawal

Cannabis

A

None

30
Q

Signs and Symptoms of Intoxication

Ecstasy

A

Euphoria, mild psychedelia, hyponatremia, seizures, death, rhabdomyolisis,
increased heart rate, blood pressure, and
temperature

31
Q

Tx of Intoxication

Ecstasy

A

Cyproheptadine,
benzodiazepines,
dantrolene

32
Q

Signs and Symptoms of Intoxication

Hallucinogens

A 
Ideas of reference,
perceptual disturbances,
impaired judgment,
dissociative symptoms,
pupillary dilatation,
tremors, incoordination
33
Q

Tx of Intoxication

Hallucinogens

A 
Supportive counseling (talking down),
antipsychotics, benzodiazepines
34
Q

Withdrawal Sx

Hallucinogens

A

None

35
Q

Signs and Symptoms of Intoxication

Inhalants

A

Belligerence, apathy, assaultiveness, impaired judgment, blurred vision,
stupor or coma

36
Q

Signs and Symptoms of Intoxication

Opiates

A

Apathy, dysphoria, papillary constriction,
drowsiness, slurred speech, impairment in
memory, coma or death

37
Q

Tx of Intoxication

Inhalants

A

Antipsychotics if

delirious or agitated

38
Q

T or F

Inhalants can produce withdrawal

A

False

39
Q

Tx of Intoxication

Opiates

A

Naloxone

40
Q

Withdrawal syndromes of opiates

A

Fever, chills, lacrimation, runny
nose, abdominal cramps, muscle
spasms, insomnia, yawning

41
Q

Tx of Withdrawal syndromes of opiates

A

Clonidine, methadone

42
Q

Signs and Symptoms of Intoxication

Phencyclidine
PCP

A

Belligerence, assaultiveness, psychomotor agitation, nystagmus, hypertension,
seizures, coma, hyperacusis

43
Q

Tx of Intoxication

Phencyclidine
PCP

A

Talking down,
benzodiazepines,
antipsychotics

CK PSych (13 decks)

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