Substance Abuse

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  1. Receptors stimulated by alcohol.
  2. Receptors stimulated by sedatives, hypnotics, anxiolytics.
  3. Receptors stimulated by opiates.
  4. Deters individuals from drinking by causing aversive reactions.
    Disulfram (Antabuse)
  5. Deters individuals from drinking by decreasing cravings
  6. Used to prevent delirium tremens in alcohol withdrawal.
    Benzodiazepines (Ativan, Valium, Librium)
  7. Elevated HR, BP, Temp and tremors first sign of…
    Delirium tremens
  8. Antidote to opioid overdose.
  9. Opiod substitutions.
    • Methadone (agonist)
    • Buprenorphine (partial agonist)
  10. Used to treat tremor and agitation during opioid withdrawal.
  11. Used to treat GI symptoms during opioid withdrawal.
  12. Used to treat muscle cramps during opioid withdrawal.
  13. Receptors stimulated by stimulants.
    Dopamine and norepinephrine
  14. Receptors stimulated by hallucinogens.
  15. Inhibits aldehyde dehydrogenase.
  16. Binds to opioid receptors, thus blocking alcohol reward pathways.
    Naltrexone (ReVia)
  17. FDA-approved pharmacotherapies for alcohol dependence.
    • Disulfram, Naltrexone and Acamprosate
    • Used for maintenance of abstinence from alcohol at treatment initiation.
    • Acamprosate (Campral)
  18. SBIRT
    Screening, Brief Intervention, Referral to Treatment
  19. CAGE assessment
    • C – Have you ever felt like you needed to cut back on drinking?
    • A – Have people annoyed you by critizing your drinking?
    • G – Have you ever felt guilty about your drinking?
    • E  - Have you ever needed an eye opener in the morning?
  20. At-Risk drinking for men.
    • >14 drinks per week
    • >4 drinks per occasion
  21. At risk drinking for women.
    • >7 drinks per week
    • >3 drinks per occasion
  22. At risk drinking for elders.
    • >7 drinks per week
    • >1 drink per occasion
    • Part of the brain that is activated by all drugs of dependence, including alcohol.
    • Nucleus Accumbens (dopamine reward pathway) in the ventral tegmental area (VTA)
  23. Three or more of the following at the same time in a 12-month period (tolerance, withdrawal, more ingested than intended, unsuccessful at reduction, excessive time involved with substance, continued use despite physical or psychological problems)
  24. A maladaptive pattern leading to significant distress or impairment with one or more of the following in a 12-month period: recurrent failure to fulfill major obligations, physically hazardous behavior, substance-related legal problems and use despite social problems.
    Substance abuse
  25. Agencies with the most influence on mental health and substance abuse services.
    • CDC
    • NIH 
    • SAMHSA
Card Set:
Substance Abuse
2011-12-04 14:05:17
alcoholism dependence substance abuse drug addiction

Final exam substance abuse flash cards - Psych nursing
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