BH Lesson 9-12
Card Set Information
BH Lesson 9-12
BH Lesson 12
BH Lesson 9-12
__________ is the need for increasing amounts of a substance to achieve the same effects.
__________ is the psychological and physiologic symptoms indicating that an individual cannot control his or her use of psychoactive substances.
__________ is the development of a substance-specific syndrome due to a recent ingestion of a substance.
__________ is a maladaptive pattern of substance use leading to clinically significant impairment or distress as manifested by one or more of the following:
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
__________ is the developement of a substance-specific syndrome due to the cessation of or reduction in the intake of a substance.
: demerol, codeine, MSO
PCP (angel dust) "synthetic"
__________ helps decrease alcohol cravings by interfering with opoid functioning. IT is contraindicated in pts who have taken narcotics within 7-10 days.
__________ helps regulate/balance neurotransmitters to maintain absinence.
__________ prohibits breakdown of acetaldehyde; makes person very ill if they drink alcohol.
Abuse of __________ could cause "drunken behavior without the odor of alcohol".
__________ is called the date rape drug.
__________ is used by sexual predators to incapacitate victim/render them incapable of remembering assault. ("gumby doll experience")
Barbiturates, especially __________, decrease awareness/responsiveness to stimuli, relieves anxiety, and produces sleep, slurred speech, and disorientation.
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)
A healthy body metabolizes alcohol at a rate of __ mL every __ minutes and approximately __ minutes on an empty stomach.
What are the causal theories of alcoholism?
: strong oral tendencies unmet in early devel. stages.
: most important neurotransmitter in addictions; initial use- high/rush +feeling...cont'd use- ↓ dopamine= ↑ need for more substance.
__________ is the stress related preoccupation with an addicted person's life, leading to extreme dependence on that person.
__________ is "rescuing" the addict such as calling them off sick and making excuses for them.
What's the difference between a physical addiction and a psychological addiction?
: specific s/s in body if they don't have the substance
: feel they need it to function/survive
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 __________.
DSM criteria for substance dependence:
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
____________________ replaced the term "addiction".
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
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
__________: ultimate level of CNS irritability.
S/s of delirium tremens:
seizures may occur
__________ is a mental d/o characterized by amnesia, clouding of consciousness, confabulation, mamory loss, ataxia, nystagmus, and neuropathy.
Two major causes of wernicke-korsakoff syndrome are:
neurotoxic effect of alcohol
inadequate nutrition- decreased thiamine, niacin, and folic acid
__________ is the most common defense mechanism associated with AOD.
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
Overdose of alcohol:
decreased HR, RR, and T
coma (from resp depression)
GI bleed- can lead to hemorrhage and death
hypothermia from vasodilation
Never mix alcohol and __________.
other CNS depressants like Valium/Xanax
What are the 3 S's of detox?
: secure environment/calm
: slow w/d process/calming effect (e.g. Librium)
: MVI, esp. thiamin, niacin, folate, vitamin C, Ca, and Magnesium
__________ reduces the craving for alcohol and inhibits glutamate function.
__________ is a narcotic antagonists that is used in opoid OD, esp resp depression.
__________ is a cheap tx for heroin addiction.
__________ is available in a depot injection every month.
__________ is an opoid antagonist available in SL tablet alone or in combo with Narcan (Suboxone).
__________ decreases n/v/d and decreases HTN effects.