What is the compulsive and maladaptive dependence on a substance that can cause profound effects on the person/fetus physical and psychological well-being?
Addiction
What is the #1 drug in DE and why?
Heroine, it’s cheap
Slurred speech, breath odor, low eyes, unsteady gait, dilated/constricted pupils, inflamed nasal mucosa, track marks, poor nutrition are all what?
Nonemergent signs of substance abuse
Fam history, burnout, mood disorder, stress, homelessness, and poverty are all what?
Risk factors for addiction
What neurotransmitter gives the high feeling in the brain?
Dopamine
Addiction can do what to the brain?
Cause permanent brain damage that’s chronic, incurable, but manageable
When does substance abuse usually start?
9-11y/o
Alterations in mental status, anxiety, tremors, HTN, hallucinations, nausea, seizures are all what?
Emergent signs of w/draw
When is the greatest risk to the fetus in substance abuse?
1st trimester bc everything starts to develop then
True or false.
If you’re addicted your baby is too.
True
Is fetal exposure to illicit drugs or alcohol considered child abuse in DE?
No, fetus has no rights until born
If a mother is addicted to alcohol during pregnancy what can occur to the fetus?
FAS-Fetal Alcohol Syndrome
If a mother is addicted to heroine during pregnancy what can occur to the fetus?
W/draw
If a mother is addicted to marijuana during pregnancy what can occur to the fetus?
IUGR bc decrease in O2
If a mother is addicted to cocaine during pregnancy what can occur to the fetus?
Stroke
If a mother is addicted to PCP during pregnancy what can occur to the fetus?
W/draw
