Substance Abuse, Anger, Hostility, Aggression Flashcards

1
Q

What is the top 3 most Abused Substance

A
  1. Alcohol
  2. Nicotine
  3. Caffeine
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2
Q

Substance-specific Syndrome due to recent ingestion of a substance

A

Intoxication

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3
Q

Maladaptive Pattern of substance use leading to clinically significant impairmentl; within 12 months

A

Abuse

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4
Q

Substance-specific Syndrome due to the cessation of or reduction in intake

A

Withdrawl

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5
Q

Maladaptive pattern of substance use as manifested by: Tolerence, Withdrawl, a need for more of the substance.

A

Dependence

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6
Q

Four Phases of Alcoholism

A
  1. Pre-alcoholic Symptomatic
  2. Prodromal
  3. Crucial
  4. Chronic
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7
Q

Is Wernicke’s Encephalopathy reversiblle?

A

True

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8
Q

Is Korsakoff’s Psychosis reversible?

A

False

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9
Q

Treatment for Wernicke’s Encephalopathy

A

Thiamine Replacement Therapy

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10
Q

Treatment for Korsakoff’s Psychosis

A

Thiamine Replacement Therapy (only to prevent worsening)

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11
Q

What are the effects of Alcohol in Body

A

Cirrhisis of liver
Leukopenia
Thrombocytopenia
Sexual Dysfunction

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12
Q

What are the Signs and Sx of Cirrhosis of the liver

A

Portal Hypertension
Ascites
Esophageal Varices
Hepatic Encephalopathy

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13
Q

What is the Blood Alcohol level that is considered Dead

A

400-700 mg/dl

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14
Q

When is the onset of Alcohol Withdrawl

A

4-12hr

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15
Q

What is the onset and duration of Delirium Tremens

A

Onset: 24-72 hr
Duration: 2-3 days

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16
Q

What is the Medication given for Delirium Tremens

A

Depakote

Ativan

17
Q

What are the symptoms of the use of Opiates

A

Drowsiness, decreased blood pressure, pulse and respiratory (brings down)
Pinpoint pupils
Needle tracks and Scarring

18
Q

What does the client exhibit if he Overdosed on Opiates

A

Slow, shallow breathing, clammy skin, convulsions, caoma, pulmonary edema, death

19
Q

What is the onset and Duration of Opiate Withdrawl

A

Onset: 8-12 hr
Duration: 7-10 days

20
Q

What are the symptoms of the use of Cocaine

A
Euphoria, Grandiosity
INcreased BP, Tachycardia, PAranoia, Anxiety
Disrupts eating and sleeping habits
irritable
decreased concentration
21
Q

What are the Signs and Symptoms of Cocaine Withdrawl

A
  • anhedonia
  • craving
  • irritability
  • Fatigue
  • moddy
  • Anxiety
22
Q

CAGE assessment

A

Cut down
Annoyed
Guilty
Eye-opener

23
Q

What medications are given for enhancing abstinence

A

Antidepressants(depression/Anxiety)

Antipsychotics(Thought Disorder)

24
Q

What are the medication for substance abuse

A

Disulfiram(antabuse) 250 mg/day *hepatotoxic

Naltrexone(Re via) 50mg/day

25
Q

What are the key elements of 12 steps

A
Acceptance
Surrender
Processing Grief
Higher power
Power of the group
26
Q

A sudden event in one’s life that disturbs homeostasis

A

Crisis

27
Q

An immature defense mechanism in which the patient deals with emotional conflict by actions

A

Acting out

28
Q

An emotion expressed by verbal abuse

A

Hostility

29
Q

DABDA

A
Denial
Anger
bargaining
Depression
Acceptance
30
Q

When an individual becomes fixed in the stage of anger and becomes depressed

A

Anger turned Inward

31
Q

Can arise from such feeling states as anger, anxiety, tension, guilt, . etc

A

Aggression

32
Q

What is De-escelate and Esecelate

A

It is the Calming down or Bringing up of the Situation

33
Q

This Atypical Antipsychotic drug can stop period and increase blood Glucose levels

A

Respidone (respirdal)

34
Q

This Atypical Antipsychotic can cause Agranulocytosis

A

Clozapine(Clozaril)

35
Q

What are side effects of Anticholinergic drugs

A
Orthostatic Hypertension
Sedation
Decreased Sweating
Temperature
Dry mouth
NAsla Congestion
Urinary Hesitation
Urinary Retention
Blurred Vision
Constipation
Mydriasis