Addiction Disorder Chap 22

Question 1

Percentage of addicts that have co-occuring mental health disorder

Answer 1

50

Question 2

Pathological use of a substance that leads to disorder of use, intoxication, withdrawal

Answer 2

SUD

Question 3

Define Process Addictions

Parts of brain affected

Answer 3

Gambling, sex, shopping, social media

Activates dopamine & Glutamate

Limbic system

Question 4

Percent population with SUD

Answer 4

10

Question 5

Are educated, employed, rural people more likely to be addicted

Answer 5

Nope

Question 6

Highest comorbidities with druggies

Answer 6

Hep A & C
Diabetes
CV diseases
HIV
Pulmonary Disorders
Psoriasis

Question 7

Wernicke encephalopathy & korsakoff psychosis happen from

Answer 7

Alcohol Withdrawal

Question 8

Name comorbidities associated with ETOH

Answer 8

Wernicke encephalopathy Korsakoff psychosis

Cirrhosis liver
Pancreatitis
Hepatitis
Esophagus
Gastritis

Question 9

Fetal alcohol syndrome

CNS problems

Name them

Answer 9

Retarded
Hyperactive
Delay in motor skills
Language
Memory

Question 10

Areas of the brain most affected by drug use (3)

Answer 10

Brain stem, limbic , Frontal cortex

Question 11

Reward pathways for motivation & memory are found in the…

Answer 11

Limbic system

Question 12

Eating & sex cue the ____ and _____ for memories and the Frontal cortex releases ____ to close the circuit

Answer 12

Amygdala & hippocampus

Glutamate

Question 13

Etoh & CNS depressants act on GABA receptors and increase bioavailabilty of (3)

Answer 13

Glutamate, norepinephrine, dopamine

Question 14

Neurotransmitter important in memory formation

Answer 14

Glutamate

Question 15

Incentive Saliance is…

Answer 15

Responsible for craving a drug when not currently using it

Question 16

Most important drug related interview question

Answer 16

When was the last time you used

Question 17

Carbohydrate-deficit transferrin & GGT

How are they similar & different

Answer 17

Both show liver damage from drinking

CDT shows long term consistent drinking

Question 18

Electrolytes to monitor closely with alcohol consumption

Answer 18

Magnesium & K

Both low

Question 19

BAL

Mild impairment, potentially changes behavior

Impaired driving, Slurred Speech, ataxia, less sensory function, nausea

Impaired balance, gross judgment & cognition impairment

All sensory motor function Impaired

Potential cardiovascular and respiratory collapse Death

Answer 19

0.02 - 0.05 Mild impairment, potentially changes behavior

0.08 - 0.1 Impaired driving, Slurred Speech, ataxia, less sensory function, nausea

0.1 - 0.15 Impaired balance, gross judgment & cognition impairment

0.2 - 0.3All sensory motor function Impaired

> 0.3 Potential cardiovascular and respiratory collapse Death

Question 20

Assessment

Screening brief intervention and referral to treatment

Answer 20

SBIRT

Question 21

Assessment

Alcohol use disorder identification test

Answer 21

AUDIT

Question 22

Assessment

4 questions to id alcohol abuse

Answer 22

CAGE

CAGE-AID adds drugs

Question 23

Assessment

Alcohol withdrawal scale

Answer 23

CIWA

Question 24

Which assessment is the Public Health response

Answer 24

SBIRT

Screening
Brief Intervention
Referral treatment

Question 25

Alcohol withdrawal starts and peaks when

Answer 25

Few hours after stopping Peaks 24 - 48 hrs

Question 26

Alcohol withdrawal delirium starts 2 - 3 days after stopping and last how long...

Answer 26

2 - 3 days

Question 27

Hyperglycemia is an effect of alcohol withdrawal T or F

Answer 27

F Hypoglycemia

Question 28

Treat alcohol withdrawal with these 4 types of medications

Answer 28

Thiamine, Folic acid, B12 Benzos Clonidine lowers BP Anticonvulsants (Tegretol , Phenobarbital)

Question 29

Disulfiram is aka....

Answer 29

Antabuse

Question 30

Disulfiram Acamprosate Naltrexone Are used for... Precautions

Answer 30

Reducing alcohol cravings Acamprosate- suicide Naltrexone- no give if acute hepatitis/ liver failure. Also works for opioid cravings

Question 31

GHB date rape drug Onset / Duration/ excretion time

Answer 31

10 - 20 minutes, 2 - 4 hrs, Excretion 4 - 7 hrs.

Question 32

Management of CNS depressants overdose Awake / Coma

Answer 32

Awake: Induce vomiting/ Activated charcoal Coma: Gastric lavage, haemodialysis, seizure precautions, Romazicon- Antidote for benzos

Question 33

Romazicon...

Answer 33

Antidote for benzos

Question 34

Withdrawal from CNS Stimulants Give these meds (2)

Answer 34

Haldol Antidepressants Bromocriptine Parlodel

Question 35

CNS stimulant overdose Treatments 2 meds

Answer 35

Cooling for hyperpyrexia Monitor resp shock and cardiac arrest Antipsychotics & diazepam (seizures)

Question 36

Coccaine produces imbalance in these neurotransmitters

Answer 36

Dopamine & Norepinephrine

Question 37

Buprenorphine is used for...

Answer 37

Suboxone Treats opiod addiction

Question 38

Clonidine Catapress can be used for...

Answer 38

Opiod addiction

Question 39

Nystagmus & violent erratic behavior, blank stare, ataxia, seizures Seen in this drug....

Answer 39

PCP / Sherm

Question 40

Treatment for hallucinogens Meds

Answer 40

Low stimuli Stay with client provide safety Diazepam / Haldol

Question 41

Most deadly and costly drug

Answer 41

Nicotine

Question 42

Varenicline....

Answer 42

Chantix

Question 43

Bupropion ....

Answer 43

Zyban Stop smoking med Monitor for agitation, insomnia, anxiety

Question 44

Transtheoretical stages of change theory 5

Answer 44

Precontemplation Contemplation Preparation Action Maintenance Used to quit drugs

Question 45

Health teaching & promotion Primary prevention

Answer 45

FRAMES Feed back of personal risks Responsibility of the patient Advice to change Menu of ways to reduce substance abuse Self- efficacy for patient