Substance-related and Addictive Disorders Flashcards

1
Q

What are substance use disorders?

A

Patterns of maladaptive behaviour involving the use of a psychoactive substance

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2
Q

What are substance-induced disorders?

A

Disorders induced by the use of psychoactive substances, including intoxication, withdrawal symptoms, mood disorders, delirium, and amnesia

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3
Q

What are psychoactive substances?

A

Describes chemical substances or drugs that have psychological effects

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4
Q

What is polydrug use?

A

Consumption of multiple substances

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5
Q

What is intoxication?

A

Substance-induced disorder characterized by clinically significant problematic behavioural or psychological changes caused by the recent ingestion of a substance
-state of drunkenness or being high

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6
Q

What are some signs of intoxication?

A

Confusion, belligerence, impaired judgement, inattention, and impaired motor and spatial skills

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7
Q

What can extreme intoxication result in?

A

Death to self or others

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8
Q

What is withdrawal syndrome?

A

Characteristic cluster of symptoms that occur when a person abruptly stops using a particular substance following a prolonged period of heavy use after psychological dependence has developed

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9
Q

What are some withdrawal symptoms?

A

Mouth dryness, nausea, vomiting, weakness, tachycardia, anxiety, depression, headaches, insomnia, elevated blood pressure, fleeting hallucinations

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10
Q

What are the symptoms of chronic alcoholism withdrawal?

A

Tachycardia, delirium tremens, delirium, disorientation

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11
Q

What are delirium tremens?

A

Withdrawal syndrome characterized by restlessness, sweating, disorientation, and hallucinations

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12
Q

What is delirium?

A

A state of mental confusion characterized by incoherent speech

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13
Q

What is disorientation?

A

State of mental confusion or lack of awareness with respect to place, time, or identity

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14
Q

What is tolerance?

A

A state of physical habituation to a drug such that with frequent use, higher doses are needed to achieve the same effect

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15
Q

What is the most widely used and overused drug?

A

Alcohol

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16
Q

What is addiction?

A

Impaired control over the use of a chemical substance accompanied by physiological dependence

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17
Q

What is physiological dependence?

A

State of physical dependence on a drug in which the user’s body comes to depend on a steady supply

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18
Q

What is psychological dependence?

A

Reliance on a substance, although one may not be physiologically dependent

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19
Q

What are the 3 pathways to substance use disorder?

A

Experimentation
Routine use
Addiction or dependence

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20
Q

What are depressants?

A

Drugs that lower the level of activity of the central nervous system

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21
Q

What do depressants do?

A

Reduces feelings of tension and anxiety, causes our movements to become sluggish, and impairs our cognitive processes

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22
Q

What happens with high doses of depressants are administered?

A

Arrest vital functions and cause death

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23
Q

What is the depressant present in alcohol?

A

Ethyl alcohol or ethanol

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24
Q

What are the biochemical effects of alcohol similar to?

A

Benzodiazepines

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25
What are the risk factors for alcoholism?
``` Gender = men start earlier but women catch up later Age = less than 40 years old Antisocial personality disorder Family history Sociodemographic factors ```
26
What health risks does alcoholism pose?
``` Cancer Heart disease Cirrhosis of the liver Pancreatitis Korsakoff's syndrome Fetal alcohol syndrome ```
27
What are barbiturates?
Type of depressant drugs that are used to relieve anxiety or induce sleep Highly addictive sedative
28
What is a sedative?
Type of depressant drugs that reduce states of tension and restlessness and induce sleep
29
What are the side effects of barbiturates?
Drowsiness, slurred speech, motor impairment, irritability, poor judgement
30
How potent are barbiturates and alcohol mixed together?
4 times as powerful
31
What are opiates?
Types of depressant drugs with strong addictive properties derived from the opium poppy
32
What feelings do opiates provide?
Feelings of euphoria and relief from pain
33
What are some types of opiates?
Morphine, heroin, codeine | Demerol, percodan, fentanyl
34
What are narcotics?
Drugs that are used for pain relief and treatment for insomnia
35
What is analgesia?
Major medical application of opiates natural or synthetic in the relief of pain
36
What part of the brain do opiates stimulate?
Brain centres that regulate sensations of pleasure and pain
37
What are endorphins?
Natural substances that function as neurotransmitters in the brain and are similar in their effects to morphine
38
What are amphetamines?
Types of synthetic stimulants
39
What are some types of amphetamines?
Benzedrine Dexedrine Meth
40
What do amphetamines do?
Produces euphoric rush
41
What can high doses of amphetamines cause?
Restlessness, irritability, hallucinations, paranoid delusions, loss of appetite, insomnia
42
What is abstinence syndrome?
Characterized by depression and fatigue as well as unpleasant, vivid dreams, insomnia or hyper insomnia, increased appetite, and either slowing down of motor behaviour or agitation
43
What is amphetamine psychosis?
Psychotic state induced by ingestion of amphetamines
44
What is cocaine?
A natural stimulant extracted from the leaves of the coca plant
45
What does cocaine do?
Produces rush from snorting that lingers
46
What is crack?
A hardened, smokable form of cocaine | Produces a prompt and potent rush that wears off in a few minutes
47
What is freebasing?
Intensifies the effects of cocaine | Cocaine in powder form is heated with ether, freeing the psychoactive chemical base of the drug and then smoked
48
What are the effects of cocaine?
Increases the availability in the brain of the neurotransmitter dopamine Produces a pleasurable high Produces a sudden rise in blood pressure and hear rate
49
What are symptoms of cocaine overdose?
Restlessness, insomnia, headaches, nausea, convulsions, tremors, hallucinations, and delusions
50
What is nicotine?
Physical addiction to a stimulant drug, nicotine, found in tobacco products including cigarettes, cigars, and smokeless tobacco
51
What are the effects of nicotine?
Increases alertness Stimulates the release of epinephrine Releases endorphins
52
What are hallucinogens?
Class of drugs that induce sensory distortions or hallucinations
53
What are some types of hallucinogens?
LSD Magic mushrooms Mescaline
54
What are the effects of hallucinogens?
Produces major alterations in colour perception and hearing | Relaxation, euphoria, panic
55
What does LSD do?
Vivid parade of colours and visual distortions | Unpredictable effects
56
What are flashbacks produced by hallucinogens?
Vivid re-experiencing of a past event
57
What is phencyclidine?
Deliriant drug Produces hallucinations Accelerates heart rate and blood pressure Dissociation
58
What are the effects of marijuana?
``` Produces relaxing feelings Increased awareness of bodily sensations High doses often leads to withdrawal Elevates hear rate and blood pressure Risk of lung cancer ```
59
What are inhalants?
Substances that produce chemical vapours for their psychoactive effect
60
What are the effects of inhalants?
Induce feelings of intoxication and euphoria | Impairments in learning and memory