ch 19 addictions

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  1. abuse is ?
    the habitual use of a substance that falls outside of medical necessity or social acceptance for single purpose of altering ones mood, emotion, or state of consciousness and resulting in adverse effects of the abuser o or others.
  2. Addiction/dependence is
    habitual psychological and physiological dependence on the substance or practice beyond one's voluntary control
  3. what is the 3 C's of addiction?
    • craving to compulsive use
    • continued use despite the consequences
    • loss of control
  4. name four compulsive addictive behaviors?
    gambling, shipping and spending, internet abuse, sexual addiction
  5. what is the most common substance abused in US?
  6. women who smoke and are pregnant have a chance for what?
    babies with a low birth weight and an increased risk of developmental issues
  7. tolerance
    the need for higher and higher doses to achieve the desired effect
  8. withdrawal
    occurs after long periods of continued use so that stopping use results in specific signs and symptoms.
  9. narcan
    given to people who have overdosed on an opiate
  10. general assessment of a drug abuser:
    • history of drug abuse
    • medical history
    • psychiatric history
    • psychosocial (work, family, friends, ect)
  11. benzodiazepine, glutethimide, and alcohol intoxicated effect and overdose
    slurred speech, incoordination, unsteady gait, drowsiness decreased blood pressure, impaired judgment, impaired function, impaired attention, irritability. overdose- reparatory depression or arrest cardio depression or arrest, coma shock, convulsions death.
  12. benzo, glutethimide, alcohol overdose treatments
    if awake keep awake, induce vomiting, activated charcoal, vitals Q15, if unresponsive - ET tube, IV fluids, gastric lavage, check fro shock, seizure precautions, and give Romazicon (flumazenil)
  13. withdrawal from benzo, glutethimide, alcohol
    nausea, vomiting, tachycardia, diaphoresis, anxiety, irritability, tremors, marked insomnia, grand mal seizures and possible delirium with years ( 5 to 15) of use
  14. possible withdrawal treatments from benzo and alcohol
    abrupt withdrawal can lead to death, detox with similar drug
  15. cocaine and crack come from where?
    coca bush leaves
  16. how soon is a high obtained when using crack or cocaine? injected , smoked, snorted
    • snorted- 30 min
    • injected 30 seconds
    • smoked 4-6 seconds
  17. how long is the average high with crack, cocaine?
    • 15-30 min for cocaine
    • 5-7 min for crack
  18. in toxic effect from crack, cocaine:
    tachycardia, dilated pupils , elevated BP, nausea, vomiting, insomnia, grandiosity, impaired judgment, euphoria
  19. overdose crack, cocaine: and amphetamines
    ataxia, hyperpyrexia, coma, convulsions, MI, respiratory distress death
  20. overdose treatment of crack, cocaine: and amphetamines
    antipsychotics, hyperpyrexia (ambient cooling), convulsions (diazepam), respiratory distress, cardiovascular shock, acidification of urine.
  21. withdrawal from crack, cocaine:and amphetamines
    fatigue, depression, agitation, apathy, anxiety, sleepiness, disorientation, lethargy, craving.
  22. withdrawal treatments from crack, cocaine: and amphetamines
    • antidepressant (desipramine)
    • dopamine agonist (bromocriptine)
  23. amphetamine intoxication:
    • increased energy and wakefulness, hyperthermia, euphoria
    • severe effects-paranoid schizophrenia, delusions, psychosis, panic levels of anxiety, potential for violence.
  24. opiates include what drugs?
    opium, heroin, meperidine (Demerol), morphine, codeine, methadone, dilaudid, fentanyl,
  25. opiate intoxication :
    constricted pupils, decreased respirations and BP, slurred speech, psychomotor retardation, initial euphoria followed by dysphoria, impairment of attention, judgment, and memory.
  26. overdose treatment of opiate overdose:
    narcan-quickly reverses CNS depression
  27. withdrawal effects with opiates:
    yawning, insomnia, irritability, runny nose, panic, diaphoresis, cramps, nausea, vomiting, muscle and bone pain, chills, fever, diarrhea, lacrimation (secretion of tears)
  28. treatments of withdrawal from opiates:
    methadone tapering, clonidine-naltrexone, vivitrol, buprenorphine ( acts as a substitute)
  29. Alcohol withdrawal delirium begins?
    The state of delirium usually peaks 2 to 3 days (48 to 72 hours) after cessation or reduction of intake
  30. Marijuana (Cannabis sativa) effects are:
    • euphoria, detachment, and relaxation
    • Overdose and withdrawal (other than craving) rarely occur.
  31. LSD intoxication symptoms:
    Pupil dilation, Tachycardia, Diaphoresis, Palpitations, Tremors, Elevated temperature, pulse, respiration, Synesthesia (e.g., colors are heard; sounds are seen), Grandiosity (e.g., thinking one can fly), Hallucinations, although sensorium is clear
  32. LSD treatments :
    • Keep patient in room with low stimuli—minimal light, sound, activity.
    • Have one person stay with patient; reassure patient, “talk down” patient.
    • Speak slowly and clearly in low voice
    • Give diazepam or chloral hydrate for extreme anxiety or tension.
  33. Hallucinogens:Lysergic acid diethylamide (LSD) and LSD-like drugs also known as?
    mescaline (peyote), acid, and psilocybin (magic mushroom)
  34. what drug is used for centuries in religious rites by Native Americans
    peyote and magic mushroom
  35. PCP is known as ?
    angel dust, horse tranquilizer, and peace pill
  36. signs and symptoms of PCP intoxication
    acute anxiety to acute psychosis as well as aggression, violence, and loss of coordination, The drug produces a generalized anesthesia that lessens the sensations of touch and pain
  37. Inhalant use, also referred to as “huffing” or “backing.”
    teenagers (ages 13 through 17)
Card Set:
ch 19 addictions
2013-10-01 16:19:27
mental health

menatal health test 3 ch 19 addictions
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