Ch 23 pharm

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Author:
jackiedh
ID:
81677
Filename:
Ch 23 pharm
Updated:
2011-04-25 12:30:55
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substance abuse
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pharm in red
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  1. what is an opioid antagonist used to treat opioid overdose?
    narcan
  2. what are oral signs of a meth user? 2
    • rampant caries
    • burned mucosal surfaces
  3. what are the meds to treat a meth abuser?
    NO MEDS are available
  4. a herion user will have ____ pupils
    Pinpoint
  5. cocaine user will have _____ pupils
    dilated
  6. what is chronic self-medication with a drug in excessive quantities called?
    drug abuse
  7. what is a drug craving, drug use causing personal and legal difficulties, overwhelming desire to obtain drugs, reuse of drugs despite personal difficulties called?
    ADDICTION-psychologic dependence
  8. what characteristics are:
    an altered state of consciousness
    development of tolerance
    rapid onset of desired effects
    abstinence syndrom if drug is discontinued abruptly after extended period of use?
    characteristics of drug abuse
  9. someone that is a _____ abuser will have inadequate response to local anesthetics
    extensive decay and skin lesions
    paranoia and aggressive behavior
    hypertension and tachyarrhythmia
    nutritional deficiency
    METH ABUSER
  10. experimentation stage of substance abuse is _______ use of _____ or other _____
    • voluntary
    • alcohol
    • drugs
  11. t/f if someone is a regular to risky user of substance abuse, regular use is not always followed by dependence for effect
    true
  12. what is for friends and family members of ALCOHOL abuser support groups?
    Al-Anon
  13. substance abuse dependence is when a person may ____, maintain ______ and _____ relationships and limit ___ to certain periods of time
    • work
    • family
    • friends
    • use
  14. what changes brain structure and function?
    REPEATED DRUG USE
  15. what is the medical condition involving psychological and physical changes from repeated use of substance called?
    addiction
  16. repeated drug use perisists after drug is _____
    stopped
  17. uncontrolled alcohol/drug craving
    seeking and using that persists even in the face of adverse consequences are symptoms of _______
    addiction
  18. what are the differences in susceptibility of etiologic factors?
    related to GENETIC influences
  19. prescribing without exploration of pt's presenting complaint
    prescribing drugs for prolonged periods without medical supervision
    and giving n20/02 to a non-anxious pt are all _____ ______ by _______
    drug misuse by prescriber
  20. drug misuse is ________
    inappropriate
  21. substance abuse is a "________"
    handicap
  22. what classifies substance abuse as a HANDICAP
    promotes opportunity to regain place in society
    protects discrimination of employment?
    Rehabilitation Act
  23. what is the indiscriminate or inappropriate use of drugs called?
    drug misuse
  24. what is the self-administration of drug increasing quantities, resulting in dependence, functional impairment, and deviation from approved social norms?
    drug abuse
  25. what is the reduced drug effect after repeated use called?
    tolerance
  26. caffeine
    cocaine
    marijuana
    codeine amphetamines
    nitrous oxide are drugs of _______ abuse
    common
  27. what is DAWN? what is #1 and #2 commonly abused resulting in an emergency visit?
    • drug abuse warning network
    • #1 = alcohol and
    • #2 cocaine most widely abused resulting in emergency visit
  28. heroin can be sued by ______ or ______ and then progress to _____
    • smoking
    • SC
    • IV
  29. what use of heroin often leads to infective endocarditis, sepsis, hepatitis, and blood borne diseases?
    heroin
  30. what are overdose signs of a heroin user? 3
    • unconsciousness
    • respiratory depression
    • extreme miosis (pinpoint pupils)
  31. what treats Acute narcotic overdose?
    Nalaxone
  32. what is used in treatment of chronic alcohol abuse?
    Naltrexone
  33. 6 hours or more after last injection = ________ syndrome
    abstinence
  34. anxiety
    dysphoria
    seizure
    piloerection (goosebumps)
    nausea
    vomiting
    lacrimation
    sweating
    abdominal cramping
    possible death! (alcohol)
    are signs and symptoms of what withdrawal?
    opiates/opioids
  35. what is an unmedicated withdrawal of an opiate/opioid user?
    cold turkey (goosebumps)
  36. what are the three most widely known members of sympathomimetic stimulants?
    • cocaine
    • methamphetamine
    • amphetamine
  37. what is a highly addictive synthetic amine?
    METH
  38. Vasoconstrictors + Meth = what?
    increased blood pressure and stroke
  39. what stimulates release and then blocks reuptake of seritonine, dopamine, norepinephrine in the brain?
    Meth
  40. what is characterized by skin lesions, rampant decay, and INTOLERANCE to vasoconstrictors?
    Meth
  41. what are street names for meth?
    • speed
    • ice
    • chalk
    • crank
    • crystal
  42. what is the frequent use of drug, chronic xerostomia, frequent ingestion of carbonated sugary drinks result in?
    rapid decay
  43. cocaine placed in the vestibule leads to what?
    • loss of attachment
    • SEVERE RECESSION OF BUCCAL GINGIVA
    • in presence of otherwise healthy periodontium
  44. Vasoconstrictors are contraindicated with ______!
    cocaine
  45. what is the property of a drug that leads to self-administration called?
    reinforcing efficacy
  46. what are the runs? (withdrawal effect of cocaine)
    extended, uninterrupted sequences (person wants to stay high and takes more when they start to feel down)
  47. t/f an alcoholic can have healthy periodontium, but they can have localized periodontitis
    true
  48. what enhances the effects of other CNS depressants?
    benzodiazepine
  49. what is CNS depression + benzodiazepine lethal combo =
    RESPIRATORY COLLAPSE- cardiac arrest esp. with alcohol
  50. what is using alcohol in excessive amounts or for longer than advised (binge drinking) called?
    alcohol MISUSE
  51. what alcohol abuse is a common problem?
    ethyl alcohol
  52. what is the biologic explanation of an alcohol user and perio tissue?
    direct toxic effect on perio tissue
  53. SLIDE 39
    l

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