Substance Abuse

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Author:
Overcomer2011
ID:
269276
Filename:
Substance Abuse
Updated:
2014-04-04 22:55:13
Tags:
PHARM
Folders:
PHARMACOLOGY
Description:
prepare for EXAM 4!
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  1. ____ is the periodic purposeful use of a substance that leads to clinically significant impairment.
    Substance Abuse
  2. The impairmentsĀ results in:
    failure to fulfill major obligations at work, school, and home.
  3. If substance abuse behavior is not stopped, substance abuse may lead to another more serious medical condition known as substance ____ or ______ that includes symptoms of overwhelming compulsive use, tolerance, and withdrawal on discontinuation.
    dependence or addiction
  4. ____ is any chemical or mixture of chemicals that alters biologic function and is not required to maintain health; applies primarily to illegal substances.
    Illicit Substances.
  5. ______ hypothesizes that substance abuse is caused by a person's genetic profile, making a predisposition to substance abuse a hereditary condition.
    Biologic model
  6. _____ see alcoholics as fixated at the oral stage of development, thus seeking satisfaction through oral behaviors such as drinking.
    Psychoanalytic theories
  7. _____ view addictive behaviors as overlearned, maladaptive habits that can be examined and changed in the same way as other habits.
    Behavior or learning theories
  8. ____ suggest that addiction is based on a distorted way of thinking about substance abuse.
    Cognitive theories
  9. ____ emphasizes the pattern of relationships among family members through the generation asĀ an explanation of substance abuse.
    family system theories
  10. ____ play a role in a person's choice of whether to use drugs, which drugs to use, how much to use, and treatment for substance abuse.
    Sociocultural factors
  11. SIGNS OF IMPAIRMENT: The disease usually first manifested in family life:
    • 1. domestic violence
    • 2. seperation
    • 3. financial problems
    • 4. problem behavior in children
  12. SIGNS OF IMPAIRMENT: then in social life:
    • 1. Over public intoxication
    • 2. Isolation from friends, peers, church
  13. SIGNS OF IMPAIRMENT: Physical and mental changes
    • 1. Excessive tiredness
    • 2. Multiple illnesses
    • 3. Frequent injuries or accidents
    • 4. Emotional crisis
  14. Deterioration in ____ status is an important sign, but occurs late in the disease(IMPAIRMENT)
    Physical
  15. Screening instruments for substance abuse can be divided into four categories:
    • 1. Comprehensive drug abuse screening and assessment
    • 2. Brief drug abuse screening
    • 3. Alcohol abuse screening
    • 4. Drug and alcohol abuse screening for use with adolescents.
  16. What is a disadvantage of some of the comprehensive screening instruments?
    The length of time required to administer the assessment and the availability of a qualified data interpreter.
  17. Some contributors leading to substance abuse among health professionals:
    • 1. Inability to manage stress brought on by intense pt care practice.
    • 2. Managing more pts with the same resources
    • 3. zero tolerance for making a mistake in association with the expectation of 100% perfection.
    • 4. financial debt are thought to be major contributing factors.
  18. Signs that raise suspicion of substance abuse in health professionals:
    • 1. Wearing long sleeves all the time
    • 2. Diminishing alertness
    • 3. Lack of attention to hygiene
    • 4. Mood swings
    • 5. Request for frequent schedule changes
    • 6. Errors in clinical judgment
    • 7. Excessive absenteeism
    • 8. Frank odor of alcohol on breath
    • 9. Frequent or long breaks
    • 10. Deterioration in profession and pt care.
  19. If a health professional suspects that a colleague is impaired, a ____ report should be made to an appropriate supervisor familiar with institutional policy.
    confidential
  20. WHEN CONSIDERING WHETHER TO REPORT SUSPECTED SUBSTANCE ABUSE, REMEMBER:
    1.Clinical practice is a privilege, not a ___.
    2.Good faith reporting should not be considered unfair or ____ to a colleague.
    3. You cannot be sued if a reasonable effort is made to establish that the concerns are legitimate and it is clear that ____ safety is the primary concern.
    4. An unreported colleague to more likely than a reported one to ___ as a result from impairment.
    5. Colleagues who are reported to licensing authorities have a very good chance of retaining their ____.
    6. If a health professional has knowledge of suspected impairment of another health professional but fails to report it, the health professional may potentially be named in a ____ lawsuit or be named as a _____ in a malpractice suit against the impaired health provider.
    • 1. right
    • 2. disloyal
    • 3. patient
    • 4. die
    • 5. license
    • 6. civil; contributor
  21. It is important to recognize that substance abuse and addiction are ____ and are treatable disorders.
    diseases
  22. Long term goals in treating substance abuse:
    • 1. Reduction or abstinence in use and effects of substances
    • 2. Reduction in frequency and severity of relapse
    • 3. Improvement in psychological and social functioning
  23. Key factors associated with long-term recovery are
    • 1. negative consequences of substance abuse
    • 2. social and community support
  24. Immediate ____ needs must be addressed first
    medical
  25. ____ initiates abstinence, reduces the severity of withdrawal symptoms, and retains the person in treatment to forestall relapse.
    Detoxification
  26. _____- 5 or more drinks on one or more occasions in the past month.
    binge drinking
  27. ___ - 2 or more drinks per day or more than 60 drinks per month.
    Chronic drinking
  28. Stimulation of ____ and ____ receptors appears to be related to the alcohol "high" or the rewarding aspects of drinking alcohol.
    opioid and dopamine
  29. _____ is the ingestion of alcohol to the point of clinically significant maladaptive behavioral or psychological changes; accompanied by evidence of slurred speech, incoordination, unsteady gait, nystagmus, impairment in attention or memory, or stupor or coma.
    Intoxication
  30. If a person frequently drinks to intoxication over long periods, a physical dependence develops and a decrease in the blood alcohol level over 4 to 12 hours may cause symptoms of alcohol _______.
    withdrawal
  31. Withdrawal can progress to more severe symptoms including, ____ and ___ hallucinations, and ___. Less than 1% of patients develop _____, the worst withdrawal symptom.
    visual and auditory hallucinations and seizures. less than 1 % develop delirium, the worst symptom.
  32. DT's are manifested by:
    • 1. hyperactivity
    • 2. delirium
    • 3. severe hyperthermia
  33. The mortality rate of pts who progress to DTs is ____
    20%
  34. If a person addicted to alcohol seeks treatment for withdrawal symptoms, _______ are commonly used for detoxification.
    benzodiazepines
  35. Three medicines have been approved for use in helping promote abstinence:
    • 1. Disulfiram
    • 2. Naltrexone
    • 3. Acamprosate
  36. Commonly abused opiates:
    • 1. heroin
    • 2. morphine
    • 3. hydro-morphine
    • 4.codiene
    • 5. oxycodone
    • 6. hydrocodone
  37. Indications of opioid intoxication are:
    • 1. Initial euphoria ( "high" ) followed by it
    • 2. apathy
    • 3. dysphonia
    • 4. impaired judgment
    • 5. agitation
    • 6. impaired social and occupational functioning
    • 7. pupillary constriction
    • 8. drowsiness
    • 9. slurred speech
    • 10. impairment of attention
  38. Physical signs and symptoms associated with withdrawal are :
    • 1. anxiety and restlessness
    • 2. increased blood pressure and pulse
    • 3. pupillary dilation
    • 4. rhinorrhea
    • 5. sweating
    • 6. nausea
    • 7. vomiting
    • 8. diarrhea
  39. Treatment is focused on relieving the ___ symptoms.
    acute
  40. When injected IV, inhaled as smoke, or sniffed onto the mucous membranes of the nose, Cocaine blocks the reuptake of catecholamine's in the brain, causing sudden CNS ____ with euphoria.
    stimulation
  41. Acute cocaine intoxication usually begins with :
    • 1. euphoric feeling ( the rush)
    • 2. enhanced vigor
    • 3. hyperactivity
    • 4. restlessness
    • 5. hyper vigilance
    • 6. talkativeness
    • 7. anxiety
    • 8. tension
    • 9. alertness
    • 10. grandiosity
    • 11. anger
    • 12. impaired judgment
  42. Signs and symptoms that develop with Cocaine
    • tachycardia or bradycardia
    • pupillary dilation
    • hyper or hypotension
    • sweating or chills
    • nausea and vomiting
  43. Withdrawal symptoms of cocaine
    • fatigue
    • vivid and unpleasant dreams
    • extreme depression
    • increased appetite
    • insomnia or hypersomnia
  44. Depression with ____ is generally the most serious problem associated with cocaine withdrawal.
    suicidal ideation
  45. There are ______ medications approved to treat cocaine dependence, therefore, the rated of relapse for pts who develop a cocaine dependency is VERY high.
    NO

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