Week 4 - Cannabis, Tolerance, Dependence, Addiction Flashcards

1
Q

Cannabis was legalized in Canada in 2018. What is it used for? (2)

A
  • various reasons
  • including persistent and neuropathic pain management
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Cannabis contains numerous cannabinoids. What are the most common ones? (3)

A
  • Tetrahydrocannabinol (THC)
  • Cannabidiol (CBD)
  • Cannabinol (CNB)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What does evidence suggest that cannabis can be effective in treating? (4)

A
  • persistent cancer pain
  • Rheumatoid arthritis
  • fibromyalgia
  • neuropathies associated with MS
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

How can cannabis be inhaled? (3)

A
  • smoking
  • vaporization
  • ingestion
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What are the side effects of Cannabis? (9)

A
  • increased HR
  • increased appetite
  • dizziness
  • decreased BP
  • dry mouth
  • hallucinations
  • paranoia
  • alteration in motor function
  • impaired attention
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

One can develop tolerance with prolonged opioid use. What is tolerance? (3)

A
  • no longer effective as it once was
  • develops to some pharmacologic effect but not to others
  • euphoria, resp. depressions, nausea
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

No tolerance develops to what pharmacologic effect? (2)

A
  • constipation
  • constricted pupils
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What is physical dependence? (2)

A
  • if you stopped, you would go through withdrawal
  • long term use produces physical dependence
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

With physical dependence, one can develop acute abstinence syndrome. What is that? (2)

A
  • withdrawal that can last up to 10 days
  • unpleasant but not dangerous
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Why is addiction different than dependence?

A
  • it is psychological
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What is addiction? (2)

A
  • a compulsive, abnormal dependence on a substance (alc, cocaine, opioids, or tobacco) or on a behaviour (gambling, internet, or pornography)
  • dependence typically has adverse psych, physical, economic, social, or legal ramifications
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What are substance-induced disorders?

A
  • temporary and reversible caused by immediate use of substance and the immediate effect that occurs when substance is stopped
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What is substance use disorder? (3)

A
  • as a result from continued, frequent use of a substance
  • combines abuse and dependence
  • direct effects of the substance, include cognitive, behavioural, and physiological physical symptoms
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Substance Use Disorder contains which 3 symptoms?

A
  • craving
  • tolerance
  • withdrawal
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What is craving?

A
  • Describes the desire to use a substance and is a symptom of SUD
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What is tolerance?

A
  • another symptom of SUD
  • increasing need for the substance to achieve its reward
17
Q

What is withdrawal?

A
  • syndrome of symptoms that occurs from a sudden cessation of the substance
18
Q

What are some non-pharmacological interventions for pain? (8)

A
  • heat/ice
  • massage
  • TENS
  • Physiotherapy
  • imagery
  • distraction
  • deep breathing
  • cultural practices
19
Q

What should you do for patient safety? (7)

A

START LOW, GO SLOW
- 10 rights
- accurate assessment
- knowledge of meds (dose, SE, CI_
- Anticipate adverse effects
- evaluate patient
- patient teaching