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Nurs 327 > Week 5- addictions > Flashcards

Week 5- addictions Flashcards

1
Q

addiction

definition

A

chronic, relapsing, and treatable disorder that results from prolonged effects of exposure of the brain to substances

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2
Q

4C’s of addiction

A
  1. craving
  2. control (loss of)
  3. compulsion (to use)
  4. consequences (of use)
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3
Q

substance addictions

A

cocaine, meth, alcohol, etc..

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4
Q

behavioral addictions

aka process

A
  • produces same reward response as substances; DSM-5 only recognizes gambling
    sex, gambling, internet, etc..
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5
Q

intoxication

definition

A

maladaptive behaviors and physical symptoms

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6
Q

withdrawal

definition

A

maladaptive behaviors resulting from cessation of substance use
- can be life threatning

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7
Q

concurrent disorders

A

co-occuring mental health or co-morbidities with substance misuse problems

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8
Q

biological cause of substance misuse disorder

A
  • genetics
  • brain function
  • chemistry
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9
Q

psychological cause of substance misuse disorder

A
  • trauma
  • stress
  • coping styles
  • co occuring disorders
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10
Q

sociocultural cause of substance misuse disorder

A
  • health policies
  • spirituality
  • isolation
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11
Q

physiological processes

addcition

A

neurochemical changes in reward centers of brain leading to dopamine increase causing euphoria
- neurons receive repeated stimulus –> receptors start to restrict stimulus –> tolerance –> need for increased stimulus

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12
Q

tolerance

definition

A

increasing need for the substance to obtain the same reward

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13
Q

dependence

definition

A

changes in the body due to continued use of a drug

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14
Q

detoxification

definition

A

systematic withdrawal of a substance
- is done under medical care

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15
Q

consequences of addiction

A
  • mood changes
  • seizures
  • insomnia/fatigue
  • weight loss
  • functional problems
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16
Q

primary prevention

A
  • community health programs like DARE
  • positive coping strategies
17
Q

secondary prevention

A

screening tools

18
Q

CAGE screening tool

A

Cut down
Annoyed
Guilty
Eye opener

19
Q

assessment

head to toe

A

neuro, perfusion, gas exchange, tissue integrity, glucose regulation

20
Q

assessment

tools for signs and symptoms

A

CIWA, COWS

21
Q

assessment

psychiatric

A

history, family history, functional assessment, MSA, risk assessment

22
Q

substance use assessment

A
  • onset or changes
  • amount and frequency
  • route
  • source
  • previous treatment
23
Q

length of stay of drugs in body

A

24-72 hours
- not all drugs are purse

24
Q

transtheoretical model of change

A

precontemplation –> contemplation –> action –> maintenance –> leaves treatment or relapse

25
Q

nursing priorities

A
  • risk for injury
  • ineffective coping
  • ineffective health maintenance
26
Q

nursing goals

A
  • manage withdrawal
  • support toward treatment
  • identify/implement strategies
  • rebuild relationships
27
Q

nursing interventions

A
  • safety first
  • monitor VS
  • therapeutic relationship
  • symptom management
28
Q

nursing interventions

physical health

A
  • gas exchsnge/perfusion
  • neuro
  • fluid/electrolytes
  • nutrition
  • glucose regulation
  • tissue integrity
29
Q

emergency interventions

A
  • provide O2
  • IV access
  • naloxone
  • toxicology
  • history
30
Q

non-pharmacological interventions

A
  • therapeutic relationship
  • motivational interviewing
  • variety of therapies
  • programs
  • groups
31
Q

motivational interviewing

A

focuses on supporting individuals motivation rather than imposing change
- key concept is ambivalence
- evocative
- used alongside other therapies

32
Q

pharmacological interventions

opioids/drugs

A
  • buprenorphone+naloxone (suboxone) –> used for disorder
  • naloxone –> used for immediate overdose
33
Q

pharmacological interventions

alcohol

A

naltrexone, benzodiazepines (withdrawal and detoxification)

34
Q

pharmacological interventions

nicotine

A

buproprion, clonidine

35
Q

harm reduction

A

public health approach to reducing health consequences of substance use
- independent of behavior change

36
Q

relapse cycle

8

A

frustration –> fantasizing –> obsessing –> substance abuse –> loss of control –> guilt over use –> cessation of use –> passage of time

37
Q

strategies for recurrence of symptoms

relapse

A
  • seek help right away
  • accept that relapse is a process
  • pinpoint triggers
  • recovery is a journey

Nurs 327 (8 decks)

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