week 2.3 Flashcards

1
Q

Counter transference

A

own attitudes about substance use disorder may impact ones perception and influence how in provides care to people with addiction

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2
Q

what is the cause of craving more alcohol causing addiction

A

Alcohol breaks down into acetate
Slower process rate by pancreas/liver to break down acetate

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3
Q

addiction

A

Pattern of problematic alcohol use that causes distress and significant impairment

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4
Q

Substance intoxication

A

Recent overuse of a substance that results in a reversible substance specific syndrome

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5
Q

substance withdrawal

A

Symptoms develop when a substance is discontinued abruptly after heavy and long-term use

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6
Q

Can people die from alcohol withdrawal?

A

Yes

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7
Q

what symptoms does CIWA assess for?

A

Nausea, vomiting
Tremors
Anxiety
Paroxysmal sweats
Tactile disturbance
orientation

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8
Q

what daily replacement is given to prevent wernickes syndrome in alcohol withdrawal

A

thiamine

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9
Q

what symptoms does COW assess for?

A

heart rate
Lacrimation
Rhinorrhea
Dilated pupils
G.I. upset
Bone/joint aches
Goose flesh skin

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10
Q

if a patient is experiencing lacrimation and just given hydroxyzine, what should be avoided?

A

Benzodiazepines

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11
Q

if a patient is experiencing diarrhea, and is given kaopectate what should be avoided?

A

Loperamide

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12
Q

if a patient experiences, vomiting, or diarrhea with opioid withdrawal, what should be done?

A

Don’t flush the toilet until nurse and HCP are able to analyze

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13
Q

Naltrexone

A

given for alcohol and opioid withdrawal

Helps prevent relapse by reducing cravings

Opioids should not be taken 10–14 days before

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14
Q

what medication paired with alcohol will make you very sick

A

Antabuse/ disulfiram

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15
Q

clonidine

A

Antihypertensive
Calming properties

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16
Q

Campral

A

Reduces cravings
most effective long-term treatment
Take with meals due to D/GI upset

Do not use after unsuccessful detox

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17
Q

Suboxone

A

Given for opioid withdrawal

18
Q

Naloxone

A

can reverse effects of overdose
Injection or nasal mist

19
Q

Methadone

A

decreases cravings and withdrawal
Likelihood of respiratory depression

20
Q

Tolerance

A

Increased amounts of a substance overtime to achieve same affect

21
Q

Wernicke‘s encephalopathy

A

due to thiamine deficiency that interferes with glucose production

sx: mental confusion, ataxia, ophthalmoplegia

22
Q

Korsakoff psychosis

A

Persistent learning, and memory problems
Debilitating chronic illness

sx: ataxia, delirium, confabulation, neuropathy

23
Q

t/f Korsakoff psychosis is reversible

24
Q

wernickes- Korsakoff syndrome sx

A

hypotension
Hypothermia
Tachycardia
Intoxication looking

25
how many alcoholic drinks per week places a female at risk of addiction
Seven
26
How many alcoholic drinks per week places a male at risk of addiction
14
27
can a patient still function normally in a black out?
Yes, but won’t remember first few hours
28
what occurs if alcohol withdrawal is not treated
Delirium tremens increase anxiety, disorientation, autonomic hyperactivity, paranoia, seizures, tremors
29
disulfiram
Alcohol antagonist Disrupts alcohol metabolism to acetate
30
how long of abstinence until disulfiram can be taken?
12 hours
31
can disulfiram be taken with mouthwash, or cold remedies, or any type of alcohol?
No
32
SBIRT
screening: assess severity Brief intervention : increase insight into substance use, and motivation for change Referral to treatment
33
what is the legal intoxication blood alcohol level?
0.08 or greater.
34
what is dopamine’s role in addiction?
It is increased to a “feeling high”experience
35
medication management for stimulants
Anticonvulsants Anti-depressants
36
medication management for hallucinogens, and cannabinols
benzodiazepines Antipsychotics
37
medication management for depressants
Phenobarbital Long acting benzos
38
who is the AUDIT screening tool for?
Adults
39
CRAFFT screening tool
For adolescence with substance use
40
RANGE
ask Normal Give score Elicit reaction
41
brief negotiated interview
Build rapport and ask permission Discuss pro and con Interpret scores give feedback determine motivation to change Negotiate action plan