Card Set Information
exam ii mental health
What is the definition of addiction?
loss of control
use despite negative consequences
WHat does physically dependent mean?
brain is altered
physical w/d sx when decrease or stop use
What are withdrawal sx?
Physical sx that occur when substance is decreased or stopped
What is tolerance?
Increased need to use more drug to gain desired effect.
What is a Type I drinker?
Social drinker that develops an alcohol abuse problem
Positive family hx (mom/dad)
Less neurotransmitters available
Feels normal when drinks
-if doesn't drink, feel anxious, depressed
50% of population Type I drinkers-prone to relapse
What is a Type II Genetic alcoholic?
Begins drinking a lot and continues drinking a lot
male line-father to son
first drink age 11-13
less than 2 years from 1st drink to disease
before drink, less neurotransmitters available
1st drink skyrockets neurotransmitters
Enjoy drinking from 1st drink
Often don't look drunk
Can have co-morbid ADHD, depression, anti-social personalities
Around 75% of prison population
Angry when 1st come into tx
Increased medical illness and will die prematurely
Will never be able to drink in a controlled way.
What happens when someone spends 1 year in recovery?
3 years of development: emotional, social, intellectual
How is alcohol metabolized?
25 mg/L metabolized every hour=1.5 oz liquor, 12 oz beer, 4 oz wine
Person with BAC .10 w/o S/S intoxication has developed tolerance
When is there medical detoxification?
How does antabuse/disulfiram work?
Drinking + meds->rx that feels like a heart attack
How do revia and depade/naltrexone work?
blocks the pleasure from drinking alcohol and decreases cravings
How are vivitrol and naltrexone given?
ER injection 1x month
How does campral work?
helps those who recently quit remain abstinent.
What is the CAGE Assement?
ANNOYED WITH PEOPLE
What is criteria for alcohol intoxication?
behavior not due to medical condition
At least one
-impaired attn or memory
-stupor or coma
What are S/S of alcohol withdrawal?
Two or more;
: increase in HR, increase in BP, sweating
What benzos can one use for safe ETOH withdrawal?
What do you need to assess during alcohol withdrawal?
BP and HR (V/S)
What were you using?
How much were you using?
For how long?
When did you last use?
Have you ever tried to quit? When?
How did it go?
Did you have any bad things happen?
CBC, H&H, platelets, K+, Ca+, Mg+, GGT