Substance Abuse, Anger, Hostility, Aggression Flashcards
What is the top 3 most Abused Substance
- Alcohol
- Nicotine
- Caffeine
Substance-specific Syndrome due to recent ingestion of a substance
Intoxication
Maladaptive Pattern of substance use leading to clinically significant impairmentl; within 12 months
Abuse
Substance-specific Syndrome due to the cessation of or reduction in intake
Withdrawl
Maladaptive pattern of substance use as manifested by: Tolerence, Withdrawl, a need for more of the substance.
Dependence
Four Phases of Alcoholism
- Pre-alcoholic Symptomatic
- Prodromal
- Crucial
- Chronic
Is Wernicke’s Encephalopathy reversiblle?
True
Is Korsakoff’s Psychosis reversible?
False
Treatment for Wernicke’s Encephalopathy
Thiamine Replacement Therapy
Treatment for Korsakoff’s Psychosis
Thiamine Replacement Therapy (only to prevent worsening)
What are the effects of Alcohol in Body
Cirrhisis of liver
Leukopenia
Thrombocytopenia
Sexual Dysfunction
What are the Signs and Sx of Cirrhosis of the liver
Portal Hypertension
Ascites
Esophageal Varices
Hepatic Encephalopathy
What is the Blood Alcohol level that is considered Dead
400-700 mg/dl
When is the onset of Alcohol Withdrawl
4-12hr
What is the onset and duration of Delirium Tremens
Onset: 24-72 hr
Duration: 2-3 days
What is the Medication given for Delirium Tremens
Depakote
Ativan
What are the symptoms of the use of Opiates
Drowsiness, decreased blood pressure, pulse and respiratory (brings down)
Pinpoint pupils
Needle tracks and Scarring
What does the client exhibit if he Overdosed on Opiates
Slow, shallow breathing, clammy skin, convulsions, caoma, pulmonary edema, death
What is the onset and Duration of Opiate Withdrawl
Onset: 8-12 hr
Duration: 7-10 days
What are the symptoms of the use of Cocaine
Euphoria, Grandiosity INcreased BP, Tachycardia, PAranoia, Anxiety Disrupts eating and sleeping habits irritable decreased concentration
What are the Signs and Symptoms of Cocaine Withdrawl
- anhedonia
- craving
- irritability
- Fatigue
- moddy
- Anxiety
CAGE assessment
Cut down
Annoyed
Guilty
Eye-opener
What medications are given for enhancing abstinence
Antidepressants(depression/Anxiety)
Antipsychotics(Thought Disorder)
What are the medication for substance abuse
Disulfiram(antabuse) 250 mg/day *hepatotoxic
Naltrexone(Re via) 50mg/day
What are the key elements of 12 steps
Acceptance Surrender Processing Grief Higher power Power of the group
A sudden event in one’s life that disturbs homeostasis
Crisis
An immature defense mechanism in which the patient deals with emotional conflict by actions
Acting out
An emotion expressed by verbal abuse
Hostility
DABDA
Denial Anger bargaining Depression Acceptance
When an individual becomes fixed in the stage of anger and becomes depressed
Anger turned Inward
Can arise from such feeling states as anger, anxiety, tension, guilt, . etc
Aggression
What is De-escelate and Esecelate
It is the Calming down or Bringing up of the Situation
This Atypical Antipsychotic drug can stop period and increase blood Glucose levels
Respidone (respirdal)
This Atypical Antipsychotic can cause Agranulocytosis
Clozapine(Clozaril)
What are side effects of Anticholinergic drugs
Orthostatic Hypertension Sedation Decreased Sweating Temperature Dry mouth NAsla Congestion Urinary Hesitation Urinary Retention Blurred Vision Constipation Mydriasis
