BH Lesson 9-12

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  1. __________ is the need for increasing amounts of a substance to achieve the same effects.
  2. __________ is the psychological and physiologic symptoms indicating that an individual cannot control his or her use of psychoactive substances.
  3. __________ is the development of a substance-specific syndrome due to a recent ingestion of a substance.
  4. __________ is a maladaptive pattern of substance use leading to clinically significant impairment or distress as manifested by one or more of the following:
    • Substance abuse
    • 1.  failure to fulfill major role obligations at work, school, or home
    • 2.  recurrent substance use in hazardous situations
    • 3.  recurrent substance-related legal problems
    • 4.  continued substance use despite problems
  5. __________ is the developement of a substance-specific syndrome due to the cessation of or reduction in the intake of a substance.
    substance withdrawal
  6. CNS depressants:
    • alcohol
    • barbiturates
    • benzodiazepines
    • inhalants
    • ketamine
    • GHB
  7. Opoids/narcotics:
    • narcotics: demerol, codeine, MSO4, oxycodone
    • heroin
    • methadone
  8. Stimulants:
    • caffeine
    • nicotine
    • cocaine
    • amphetamines (uppers)
    • methamphetamines (speed)
    • MDMA (ecstasy)
  9. Hallucinogens:
    • LSD
    • PCP (angel dust) "synthetic"
    • mesaline
    • psilocybin
    • marijuana "natural"
  10. __________ helps decrease alcohol cravings by interfering with opoid functioning.  IT is contraindicated in pts who have taken narcotics within 7-10 days.
  11. __________ helps regulate/balance neurotransmitters to maintain absinence.
  12. __________ prohibits breakdown of acetaldehyde; makes person very ill if they drink alcohol.
  13. Abuse of __________ could cause "drunken behavior without the odor of alcohol".
  14. __________ is called the date rape drug.
  15. __________ is used by sexual predators to incapacitate victim/render them incapable of remembering assault. ("gumby doll experience")
  16. Barbiturates, especially __________, decrease awareness/responsiveness to stimuli, relieves anxiety, and produces sleep, slurred speech, and disorientation.
  17. What are some physiological effects of alcohol?
    • primarily metabolized by the liver
    • broken down to acetaldehyde:  toxic; chemical rx causes liver cell and neuron death, necrosis, interferes with vitamin use/absorption (esp thiamin and folate)
  18. A healthy body metabolizes alcohol at a rate of __ mL every __ minutes and approximately __ minutes on an empty stomach.
    • 15
    • 60
    • 20
  19. What are the causal theories of alcoholism?
    • psychodynamic:  strong oral tendencies unmet in early devel. stages.
    • biological:  heredity
    • dopamine:  most important neurotransmitter in addictions; initial use- high/rush +feeling...cont'd use- ↓ dopamine= ↑ need for more substance.
  20. __________ is the stress related preoccupation with an addicted person's life, leading to extreme dependence on that person.
  21. __________ is "rescuing" the addict such as calling them off sick and making excuses for them.
  22. What's the difference between a physical addiction and a psychological addiction?
    • physical:  specific s/s in body if they don't have the substance
    • psychological:  feel they need it to function/survive
  23. The state in which a drug user must take a usual or an increasing dose of a drug to prevent the onset of abstinence symptoms, withdrawal, or both is called __________.
  24. DSM criteria for substance dependence:
    • tolerance
    • withdrawal
    • need for more substance than intended
    • inability to stop using even when wanting to
    • continued substance use despite knowledge that the substance is causing physical or psychological problems
    • social, occupational, or recreational problems
  25. ____________________ replaced the term "addiction".
    substance/chemical dependency
  26. DSM criteria for substance intoxication:
    • development of substance-specific syndrome due to a recent ingestion of a substance
    • clinically significant maladaptive behavioral or psychological changes due to the effect f the substance eon the central nervous system
    • not due to general med condition and not better accounted for by another mental disorder
  27. DSM criteria for substance withdrawal:
    • development of substance-specific syndrome due to the cessation or reduction in the intake of a substance
    • the substance-specific syndrome causes clinically significant distress or impairment
    • not due to gen. med. condition and not better accounted for by another mental disorder
  28. __________: ultimate level of CNS irritability.
    delirium tremens
  29. S/s of delirium tremens:
    • tremors
    • sweating
    • "terrified" feeling
    • palpitations
    • hallucinations
    • seizures may occur
  30. __________ is a mental d/o characterized by amnesia, clouding of consciousness, confabulation, mamory loss, ataxia, nystagmus, and neuropathy.
    wernicke-korsakoff syndrome
  31. Two major causes of wernicke-korsakoff syndrome are:
    • neurotoxic effect of alcohol
    • inadequate nutrition- decreased thiamine, niacin, and folic acid
  32. __________ is the most common defense mechanism associated with AOD.
  33. How does addiction start?
    • social/occasional drinking/enjoys it/feels good
    • secretive, tolerance, increased amt
    • loss of control, increased amt, w/d s/s, chronic alcoholism
  34. Overdose of alcohol:
    • decreased HR, RR, and T
    • coma (from resp depression)
    • GI bleed- can lead to hemorrhage and death
    • hypothermia from vasodilation
  35. Never mix alcohol and __________.
    other CNS depressants like Valium/Xanax
  36. What are the 3 S's of detox?
    • safety:  secure environment/calm
    • sedation:  slow w/d process/calming effect (e.g. Librium)
    • supplement:  MVI, esp. thiamin, niacin, folate, vitamin C, Ca, and Magnesium
  37. __________ reduces the craving for alcohol and inhibits glutamate function.
  38. __________ is a narcotic antagonists that is used in opoid OD, esp resp depression.
  39. __________ is a cheap tx for heroin addiction.
  40. __________ is available in a depot injection every month.
    • naltrexone
    • Vivitrol
  41. __________ is an opoid antagonist available in SL tablet alone or in combo with Narcan (Suboxone).
    buprenorphine (Buprenex)
  42. __________ decreases n/v/d and decreases HTN effects.
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BH Lesson 9-12
2013-10-27 03:06:36
BH Lesson 12

BH Lesson 9-12
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