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PSYCH MENTAL HEALTH > Substance Use > Flashcards

Substance Use Flashcards

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1
Q

substance use

A

use of substance leading to disorder w changes in brain structure/function

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2
Q

symptom groups for substance use

A

impaired control, social impairment, risky use, physical effects

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3
Q

substances leading to disorders

A

alcohol, caffeine, cannabis, hallucinations, inhalant, opioid, sedative hypnotic, stimulant, tobacco, other

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4
Q

addiction

A

chronic med condition and w/out treatment can lead to disability/death

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5
Q

intoxication

A

in process of using substance to excess

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6
Q

tolerance

A

takes higher dose to achieve the initial level of response

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7
Q

withdrawal

A

symptoms that occur when a person stops using a substance (mild to life-threatening)

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8
Q

cormorbidity

A

any combo of 2 or more substance use disorders and mental disorders

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9
Q

genetic risk factors

A

twins have high risk, fam hx

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10
Q

neurobio risk factors

A

receptors associated w disorder (opioid receptors)

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10
Q

environmental risk factors

A

chronic stress, poor support/coping

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11
Q

caffiene

A

coffee, soda, tea, energy drink consumption and associated w bipolar/eating/sleep disorders

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12
Q

intoxication of caffeine

A

rambling, flushed face, gastro issues, cardiac arrhythmias, twitching

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13
Q

overdose of caffeine

A

fever, tachy/bradycardia, seizures, delusions, cardiac arrest

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14
Q

withdrawal of caffeine

A

headaches, drowsy, poor concentration, irritable
(12-24 hrs after, peak 24-48, resolve 1 wk)

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15
Q

withdrawal of cannibis

A

restless, disturbing dreams, wt loss, shaky, abdominal pain

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15
Q

intoxication of cannibis

A

heightened sensation, brighter colors, time slows, derealization, hallucinations w intact reality
(2 of 4 needed: red eyes, high appetite, dry mouth, tachy)

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16
Q

treatment of cannibis

A

abstinence, hosp, anxiety meds

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16
Q

halluncinogens

A

cause profound disturbances in reality w flashbacks, panic attacks, psychosis

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17
Q

intoxication of halluncinogens

A

paranoia, impaired judgement, depersonalization, synesthesia, pupil dilation, palpation

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18
Q

treatment of hallucinogens

A

talking pt down, restraint, antipsychotics

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19
Q

inhalants

A

solvents, propellants, thinners, fuels that are used for short person of time to gain euphoria

20
Q

“sudden sniffing death”

A

cardiac arrhythmias from propane/butane

21
Q

intoxication of inhalants

A

euphoria (small), illusions, hallucinations, distorted body image, anorexia, impulsive (high), delirium, psychosis, dementia (adverse)

22
Q

opioids

A

increased craving and significant impairment and hazardous staring in early 20s

23
Q

intoxication of opioids

A

psychomotor retardation, slurred speech, impaired memory, low bowels, low HR/BP/RR

24
Q

overdose of opioids

A

unresponsiveness, coma, hypothermia, bradycardia, hypotension, resp depression, miosis

25
Q

overdose treatment of opioids

A

promote breathing by aspirating secretions, mechanical ventilation, naloxone

26
Q

opioid withdrawal

A

mood dysphoria, diarrhea, muscle aches, watery eyes
(6-8hrs after last dose, peak 2-3 days)

27
Q

opioid withdrawal treatment

A

methadone, buprenorphine, naltrexone

28
Q

opioid maintanence

A

abstinence, CBT, social skills training, NA

29
Q

sedative, hypnotic

A

craving benzos w impacted role performance/relationships

30
Q

intoxication of sedatives

A

slurred speech, incoordination, unsteady gait, impaired thinking, coma,

31
Q

overdose treatment of sedatives

A

gastric lavage, monitor vitals, keep pt awake, fluids, prep for mechanical ventilation

32
Q

withdrawal of sedatives

A

tremor, insomnia, anxiety, depressed CNS

33
Q

withdrawal treatment of sedatives

A

gradual reduction to prevent seizures

34
Q

stimulants

A

craving and tolerance with reduced ability to function that can occur in a week

35
Q

stimulant intoxication

A

superhuman feelings, euphoric, sociable, hypervigilent, resp depression, chills, seizure, coma

36
Q

stimulant withdrawal

A

vivid nightmares, increased appetite, insomnia, psychomotor retardation/agitation

37
Q

stimulant withdrawal treatment

A

group/individual therapy, inpatient, antipsychotics or diazepam for no psychosis

38
Q

tobacco

A

quick dependence and persistance

39
Q

tobacco withdrawal

A

irritable, depression, anxiety, insomnia, restless, decreased HR 5-12BPM, wt gain 4-7 lbs

40
Q

gambling disorder

A

compulsive activity disturbing functioning

41
Q

gambling disorder treatment

A

GA, SSRI, lithium, valproic acid, naltrexone

42
Q

alc use disorder

A

sedative w euphoria than depress
mild: 2-3 S/S
mod: 4-5 S/S
severe: 5 or more S/S

43
Q

alc disorder risk factors

A

genetics, neurobio, scoial, cultural

44
Q

binge drinking

A

drinking everything all at once

45
Q

heavy drinking

A

drinking all the time

46
Q

alcohol intoxication

A

blood concentration of 80-100 mg/dL

47
Q

alcohol withdrawal

A

6-8 hrs after w low appetite, insomnia, impaired cognition, seizures, high HR/BP

48
Q

cognitive disturbances from alc

A

mem disturbances, wernicke syndrome, fetal alc syndrome

49
Q

systemic effects for alc use disorder

A

peripheral neuropathy, alc myopathy/cardiomyopathy, alc hepatitis, cancer, leukopenia

50
Q

CAGE

A

4 questions to identify alc abuse

51
Q

disulfram

A

long term injectable med when pt goes through detox/rehab: if alc had, immediate withdrawal and S/S

PSYCH MENTAL HEALTH (17 decks)

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