SUBSTANCE USE - FINAL EXAM Flashcards

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1
Q

substance use disorder

A

continuous use that changes brain structure and function

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2
Q

addiction

A

chronic med condition where one cannot stop substance use and unwilling to recognize extent

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3
Q

intoxication

A

in process of using substance to excess

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4
Q

tolereance

A

taking higher dose to achieve initial response

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5
Q

withdrawal

A

symptoms that occur when person stops using substance (can be lifethreatening)

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6
Q

risk factors of substance use

A

twins, receptors associated with disorder, chronic stress, poor coping/support

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7
Q

caffeine assoications

A

bipolar, eating, sleeping disorders

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8
Q

caffeine intoxication

A

nervous, rambling speech, flushed face, tachycardia, gastro issues, twitching

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9
Q

caffeine overdose

A

fever, seizures, delusions, disorganized speech

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10
Q

withdrawal of caffeine takes place

A

12-24hrs after last dose, peaks 24-48hrs, resolves in 1 wk

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11
Q

withdrawal of caffeine

A

headache, drowsy, irritable, poor concentration

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12
Q

cannabis intoxication

A

heightened sensation, brighter colors, time slows, depersonalization, hallucinations

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13
Q

2 out of 4 must be diagnosed for cannabis intoxication

A

red eyes, increased appetite, dry mouth, tachycardia

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14
Q

withdrawal of cannabis occurs

A

1 wk after cessation

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15
Q

withdrawal of cannabis

A

irritable, restless, disturbing dreams, wt loss

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16
Q

treatment of cannabis

A

abstinence, hosp, anxiety meds

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17
Q

hallucinogens

A

cause profound disturbance in reality with flashbacks, panic attacks and psychosis

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18
Q

intoxication of hallucinogens

A

hallucinations, illusions, derealization/depersonalization, synesthesia, palpitations

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19
Q

treatment of hallucinogens

A

talking pt down, restraints, haloperidol(severe)

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20
Q

inhalants

A

used for short time to give euphoria while burning brain cells

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21
Q

sudden sniffing death

A

cardiac arrhythmias from propane/butane

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22
Q

intoxication of inhalants

A

small doses: euphoria
high doses: distorted body image, apathy, anorexia, impaired judgement, amnesia
adverse: delirium, dementia, psychosis

23
Q

opioid intoxication

A

psychomotor retardation, slurred speech, impaired memory, miosis, low RR/BP

24
Q

opioid overdose

A

unresponsive, coma, hypothermia, resp depression

25
Q

treatment for opioid overdose

A

aspirate secretions, mechanical ventilation, naloxone

26
Q

opioid withdrawal duration

A

6-8hrs after last dose, peaks day 2/3, ends in 1 wk

27
Q

opioid withdrawal

A

mood dysphoria, muscle aches, diarrhea, N/V, insomnia

28
Q

opioid withdrawal treatment

A

methadone, clonidine, buprenorphine, naloxone, naltrexone

29
Q

methadose

A

decrease painful symptoms of opioid withdrawal for long term treatment

30
Q

buprenorphine

A

partial antagonist to reduce/quit opioids and may cause euphoria/resp depression

31
Q

naltrexone

A

opioid antagonist to prevent intoxication by blocking receptors

32
Q

opioid maintenance

A

abstinence, CBT, detox, NA

33
Q

sedative intoxication

A

incoordination, unsteady gait, impaired thinking, aggression coma

34
Q

overdose treatment of sedatives

A

gastric lavage, monitor vitals, keep pt awake, mechanical ventilation

35
Q

withdrawal of sedatives

A

tremor, insomnia, CNS depression, anxiety

36
Q

treatment of sedative withdrawal

A

gradual reduction of opioids to prevent seizures

37
Q

stimulant intoxication

A

superhuman feeling, sociable, elated, anger, anxious

38
Q

2 or more must be present in stimulant intoxication

A

chest pain, wt loss, confusion, seizures, arrhythmias, coma

39
Q

withdrawal of stimulants

A

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

40
Q

withdrawal treatment of stimulants

A

therapy, antipsychotics or diazepam, bupropion

41
Q

tobacco withdrawal

A

irritable, depression, anxiety, insomnia, restless with 5-12 drop in BP and 4-7lb gain

42
Q

withdrawal treatment of tobacco

A

behavioral therapy, hypnosis, nicotine replacement, bupropion

43
Q

gambling disorder

A

compulsive activity that disturbs function

44
Q

treatment of gambling disorder

A

lithium, valproic acid, naltrexone, GA, bupropion

45
Q

alcohol use disorder

A

sedative with initial euphoria and later depression

46
Q

risk factors of alcohol use disorder

A

genetics, altered brain function, peer pressure

47
Q

binge drinking

A

drinking everything at once

48
Q

heavy drinking

A

drinking all the time

49
Q

alcohol intoxication

A

blood concentration of 80-100mg/dl or .08-.1g/dl

50
Q

alc withdrawal duration

A

6-8 hrs after cessation

51
Q

alcohol withdrawal

A

lack of appetite, impaired cognition, delirium, unconciousness

52
Q

alcohol use can cause

A

cognitive disturbances and fetal alcohol syndrome

53
Q

systemic effects of alcohol use disorder

A

peripheral neuropathy, cirrhosis of liver, leukopenia, thrombocytopenia, cancer, gastritis, pancreatitis, hepatitis, myopathy

54
Q

treatment of alcohol use disorder

A

disulfram, naltrexone, lorazepam, CBT