Addictions Flashcards

(96 cards)

1
Q

Booze, liquor, drinks, cocktails, juice, beer, wine, sauce

Symptoms of intoxication;
Aggressiveness, euphoria, impaired judgement, emotional instability, slurred speech, depression

Symptoms of Overdose:
nausea, vomiting, shallow respirations, cold clammy skin, coma or death

Symptoms of Withdrawal:
tremors, vomiting, anxiety, headache, seizures, tachycardia, high blood pressure.

A

Alcohol

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2
Q

Marijuana, Pot, grass, MJ, gaunja, Hashish

Symptoms of intoxication:
Relaxation, talkativeness, lowered inhibitions, euphoria, mood swings,

Symptoms of Overdose;
Fatigue, paranoia, delusions/hallucinations, poss. psychosis

Symptoms of Withdrawal;
restlessness, irritability, insomnia, loss of appetite, depression, tremors, headache

A

Cannabis

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3
Q

Acid, LSD, PCP, Special K, Ecstasy, X

Symptoms of Intoxication;
visual hallucinations, disorientation, confusion, paranoid delusions, anxiety

Symptoms of Overdose;
agitation, extreme hyperactivity, violence, hallucinations, psychosis, death, panic attacks

Symptoms of Withdrawal;
Psychological withdrawal, anxiety, cravings, fatigue, flashbacks

A

Hallucinogens

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4
Q

Paint thinners, fuels/gas, varnish remover, rubber cement, “huffing”
Symptoms of Intoxication;
Belligerence, blurred vision, dizziness, slurred speech, stupor/coma, euphoria

Symptoms of Overdose;
ataxia, ototoxicity, encephalopathy, Parkinsonism, damage to PNS and brain

Symptoms of Withdrawal;
Mild, not significant

A

Inhalants

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5
Q

heroin, morphine, codeine, dilaudid, Demerol, Opium

Symptoms of Intoxication;
Euphoria, lethargy, drowsiness, lack of motivation, constricted pupils

Symptoms of Overdose;
Shallow breathing, slowed pulse, clammy skin, pulmonary edema, respiratory arrest, coma, death

Symptoms of Withdrawal;
Craving drugs, nausea/vomiting, muscle aches, lacrimation/rhinorrhea, pupillary dilation, insomnia

A

Opioids

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6
Q

Barbiturates; phenobarbital, Ambien/Lunesta
Xanax, Date Rape drug, roofies,

Symptoms of Intoxication;
disinhibition of sexual or aggressive impulses, impaired judgement, slurred speech, unsteady gait, confusion

Symptoms of Overdose;
effects on organs, coma/death, CNS depression

Symptoms of Withdrawal;
nausea/vomiting, malaise, weakness, tachycardia, orthostatic hypotension, seizures, delirium

A

Sedatives/Hypnotics/Anxiolytics

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7
Q

Java, coffee, mud, cancer sticks, cigarettes, coke, blow, cocaine, baking soda

Symptoms of Intoxication;
Euphoria, hyperactivity, restlessness, impaired judgement, nervousness

symptoms of overdose;
convulsions/death

Symptoms of Withdrawal;
headache, depression, anxiety, social withdrawal

A

Stimulants (include caffeine & tabacco)

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8
Q

physical and psychological dependence

A

substance use disorder

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9
Q

need for increasing amounts to produce the desired effects

Syndrome of withdrawal upon cessation.

A

physical dependence

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10
Q

Overwhelming desire to repeat the use of a particular drug to produce pleasure or avoid discomfort

A

Psychological dependence

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11
Q

Use of the substance interferes with ability to fulfill role obligations
Attempts to cut down or control use fail
Intense craving for the substance
Extensive amount of time spent trying to procure the substance or recover from its use
Use of the substance causes the person difficulty with interpersonal relationships or to become socially isolated
Engages in hazardous activities when impaired by the substance.
Tolerance develops and the amount required to achieve the desired effect increases.
Substance specific symptoms occur upon discontinuation of use

A

Substance Addiction

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12
Q

Development of a reversible syndrome of symptoms following excessive use of a substance.
Direct effect on the CNS.
Disruption in physical and psychological functioning.
Judgement is disturbed and social and occupational functioning is impaired

A

Substance Intoxication

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13
Q

Development of symptoms that occurs upon abrupt reduction or discontinuation of a substance that has been used regularly over a prolonged period of time.
Symptoms are specific to the substance that has been used.
Disruption is physical and psychological functioning, with disturbances in thinking, feeling, and behavior.

A

Substance Withdrawal

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14
Q
Alcohol,
Caffeine
Cannabis
Hallucinogens
Inhalants
Opioids
Sedatives/hypnotics
Stimulants
Tobacco
A

Classes of Psychoactive Substances

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15
Q

Genetics; apparent hereditary factor, particularly with alcoholism.
Biochemical; alcohol may produce morphine-like substances in the brain that are responsible for alcohol addiction

A

Predisposing Factors

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16
Q

Developmental influences
Punitive superego
Fixation in the oral stage of psychosexual development

A

Psychological factors

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17
Q

certain personality traits are thought to increase a tendency toward addictive behavior
Low self-esteem
Frequent depression
Passivity
Inability to relax or defer gratification
Inability to communicate effectively

A

Personality factors

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18
Q

Social learning; children and adolescents more likely to use substance with parents who provide model for sub. use
Use of substances may also be promoted within peer group
Conditioning: pleasurable effects from substance use act as a positive reinforcement for continued use of substance
Cultural and ethnic influences: some cultures are more prone to substance abuse than others

A

Sociocultural factors

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19
Q

Prealcoholic phase: characterized by use of alcohol to relieve everyday stress and tensions of life.

A

Alcohol Use Disorder Phase I

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20
Q

Early alcoholic phase: beings with blackouts-brief periods of amnesia that occur during or immediately following a period of drinking; alcohol is now required by the person.

A

Alcohol Use Disorder Phase II

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21
Q

The crucial phase: person has lost control; physiological dependence is clearly evident.

A

Alcohol Use Disorder Phase III

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22
Q

The chronic phase: characterized by emotional and physical disintegration. The person is usually intoxicated more often than sober.

A

Alcohol Use Disorder Phase IV

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23
Q

occurs at blood alcohol levels between 100 and 200 mg/dL

A

Alcohol Intoxication

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24
Q

occurs within 4 to 12 hours of cessation of or reduction in heavy and prolonged alcohol use

A

Alcohol Withdrawal

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25
``` A profile of the substance Barbiturates Non-barbiturate hypnotics Anti-anxiety agents Club agents ```
Sedative/Hypnotic Use Disorder
26
``` Effects on sleep and dreaming Respiratory depression Cardiovascular effects Renal function Hepatic effects Body temp Sexual functioning ```
Sedative/hypnotic effects on the body | Pattern of use
27
With these CNS deppressants, effects can range from disinhibition and aggressiveness to coma and death (with increasing dosages of the drug).
Intoxication; from sedatives/hypnotics
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Onset of symptoms depends on the half-life of the drug from which the person is withdrawing. Severe withdrawal from CNS depressants can be life threatening.
Withdrawal from a sedative/hypnotic
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``` Amphetamines Synthetic stimulants Non-amphetamine stimulants Cocaine Caffeine Nicotine ```
A profile of the substance | Stimulants
30
``` CNS effects Cardiovascular effects Pulmonary effects Gastrointestinal and renal effects Sexual functioning ```
Stimulants effect on the body
31
Amphetamine and cocaine intoxication produce euphoria, impaired judgement, confusion, changes in vital signs (even coma or death, depending on amount consumed). Caffeine intoxication usually occurs following consumption in excess of 250 mg. Restlessness and insomnia are the most common symptoms
Intoxication of Stimulants
32
Amphetamine and cocaine withdrawal may result in dysphoria, fatigue, sleep disturbances, and increased appetite. Withdrawal from caffeine may include headache, fatigue, drowsiness, irritability, muscle pain, and stiffness, and nausea and vomiting. Withdrawal from nicotine may include dysphoria, anxiety, difficulty concentrating, irritability, restlessness, and increased appetite.
Withdrawal from Stimulants
33
Aliphatic and aromatic hydrocarbons found in substances such as fuel, solvents, adhesives, aerosol propellants, and paint thinners
Inhalant Profile
34
CNS effects Respiratory effects Gastrointestinal effects Renal system effects
Inhalant patterns of use/abuse
35
Develops during or shortly after use of or exposure to volatile inhalants Dizziness, ataxia, muscle weakness, euphoria, excitation, disinhibition, slurred speech nystagmus, blurred or double vision psychomotor retardation, hypoactive reflexes stupor or coma
Inhalant intoxication
36
Opioids of natural origin Opioid derivatives Synthetic opiate-like drugs
Profile of Opioids
37
CNS effects Gastrointestinal effects Cardiovascular effects Sexual functioning
Opioid patterns of use/abuse
38
Symptoms are consistent with the half-life of most opioid drugs and ususally last for several hours. Symptoms include initial euphoria followed by apathy, dysphoria, psychomotor agitation or retardation, and impaired judgement. Severe opioid intoxication can lead to respiratory depression, coma, and death.
Intoxication of Opioids
39
From short-acting drugs (heroin) | Symptoms occur within 6 to 8 hours, peak within 1 to 3 days, and gradually subside in 5 to 10 days.
Withdrawal from Opioids | short acting
40
From long-acting drugs (methadone) | Symptoms occur within 1 to 3 days, peak between days 4 and 6, and subside in 14 to 21 days.
Withdrawal from opioids | long acting
41
From ultra-short-acting meperidine | Symptoms begin quickly, peak in 8 to 12 hours, and subside in 4 to 5 days
Withdrawal from opioids | ultra-short acting
42
Dysphoria, muscle aches, nausea/vomiting, lacrimation or rhinorrhea, pupillary dilation, piloerection, sweating, abdominal cramping, diarrhea, yawning, fever, and insomnia
Symptoms of opioid withdrawal
43
Naturally occuring hallucinogens | Synthetic compounds
Profile of Hallucinogens
44
Use is usually episodic
Hallucinogens pattern of use
45
Occurs during or shortly after using the drug Symptoms include perceptual alteration, depersonalization, derealization, tachycardia, palpitations, Symptoms of PCP intoxication include belligerence and assaultiveness and may proceed to seizures or coma
Intoxication of a hallucinogen
46
``` Nausea/vomiting Chills Pupil dilation increased BP; pulse loss of appetite insomnia elevated blood sugar decreased respirations ```
Physiological effects on the body from Hallucinogens
47
``` Heightened response to color, sounds distorted vision sense of slowed time magnified feelings paranoia, panic euphoria, peace depersonalization derealization increased libido ```
Psychological effects on the body from hallucinogens
48
Marijuana | Hashish
Profile of Cannabis
49
``` Cardiovascular Respiratory Reproductive Central nervous system sexual functioning ```
effects on the body from cannabis
50
symptoms include impaired motor coordination, euphoria,, anxiety, sensation of slowed time, impaired judgement, Physical symptoms include conjunctival injection, increased appetite, dry mouth, and tachycardia Impairment of motor skills lasts for 8 to 12 hours
Intoxication of Cannabis
51
Occurs upon cessation of cannabis use that has been heavy and prolonged Symptoms occur within a week following cessation of use Symptoms include irritability, anger, aggression, anxiety, sleep disturbances, decreased appetite, depressed mood, stomach pain, tremors, sweating, fever, chills, or headache
Withdrawal from Cannabis
52
Nurses must begin relationship development with a substance abuser by examining own attitudes and personal experiences with substances.
Application of the Nursing Process
53
Various assessment tools are available for determining the extent of the problem a client has with substances. Drug Hx & Assessment Cinical institute withdrawal assessment of alcohol scale Michigan Alcoholism Screening Test (MAST) CAGE Questionaire
Nursing Process: Assessment
54
Have you ever felt you should Cut down on your drinking? Have people Annoyed you by criticizing your drinking? Have you ever felt bad or Guilty about your drinking? Have you ever had a drink first thing in the morning to steady your nerves (Eye-opener)
CAGE Questionaire
55
Clients with a coexisting substance disorder and mental disorder may be assigned to a special program that targets the dual diagnosis Program combines special therapies that target both problems
Dual Diagnosis
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Ineffective Denial related to weak, underdeveloped ego Outcome: Client will demonstrate acceptance of responsibility for own behavior and acknowledge association between personal problems and use of substance(s).
Nursing Diagnosis
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Ineffective Coping related to inadequate coping skills and weak ego Outcome: Client will be able to demonstrate more adaptive coping mechanisms that can be used in stressful situations (instead of taking substances)
Nursing Diagnosis
58
Imbalanced Nutrition less than body requirements/Fluid volume deficit related to drinking or taking drugs instead of eating Outcome: Client will be free from signs and symptoms of malnutrition/dehydration
Nursing Diagnosis
59
Risk for Infection related to malnutrition and altered immune condition Outcome: Shows no sign or symptoms of infection
Nursing Diagnosis
60
Chronic Low Self-Esteem related to weak ego, lack of positive feedback Outcomes: Exhibits evidence of increased self-worth by attempting new projects without fear of failure and by demonstrating less defensive behavior toward others
Nursing Diagnosis
61
``` Deficient Knowledge (effects of substance abuse on the body) related to denial of problems with substances evidenced by abuse of substances Outcomes: Verbalizes importance of abstaining from use to maintain optimal wellness. ```
Nursing Diagnosis
62
``` Disulfiram (Antabuse) other medications Naltrexone (ReVia) Nalmefene (Revex) SSRIs Acamprosate (Campral) ```
Pharmacotherapy for alcoholism
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Benzodiazepines Anticonvulsants Multivitamin therapy Thiamine
Psychopharmacology for substance intoxication and substance withdrawal from Alcohol
64
``` Narcotic antagonists Naloxone (Narcan) Naltrexone (ReVia) Nalmefene (Revex) Methadone Buprenorphine Clonidine ```
Psychopharmacology for substance intoxication and substance withdrawal from Opioids
65
Phenobarbital (Luminal) | Long-acting benzodiazepines
Psychopharmacology for substance intoxication and substance withdrawal from Depressants
66
Minor tranquilizers Major tranquilizers Anticonvulsants Antidepressants
Psychopharmacology for substance intoxication and substance withdrawal from Stimulants
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Benzodiazepines | Antipsychotics
Psychopharmacology for substance intoxication and substance withdrawal from Hallucinogens and cannabinols
68
a powerful desire for something
craving
69
to use wrongfully or in a harmful way. Improper treatment or conduct that may result in injury.
abuse
70
the state of relying on or being controlled by someone or something else.
Dependence
71
the ability or willingness to tolerate something in particular to the existence of opinions or behavior that one does not necessarily
Tolerance
72
the action of withdrawing something, removal, elimination
withdrawal
73
a physical and mental state of exhilaration and emotional frenzy or lethargy and stupor.
Intoxication
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Blood alcohol levels, 0.02% relaxed, 0.04% relax cont. buzz develops, 0.06% cognitive judgement impaired, 0.08% legally intoxicated, nausea can appear/motor coordination impaired, 0.10% clear deterioration in cognition and motor judgement, 0.15%- .25% blackouts, .25%-.35% pass out/risk of death, .40%-.45% lethal dose
BAL (difference in levels)
75
``` questionaire Cut down on your drinking Annoyed @ people for criticizing Guilty about drinking Want to drink 1st thing in the morning. Eye opener ```
CAGE Questionaire
76
Clinical Opiate Withdrawal Scale Flow sheet of measuring s/s over a period of time during buprenorphine induction. Evaluates 11 common opiate withdrawal s/s
COWS
77
Clinical Institute Withdrawal Assessment of Alcohol Scale | 10 item scale, used in assessment and management of withdraw of alcohol
CIWA
78
Michigan Alcoholism Screening Test | alcohol screening test identifying dependent drinkers 98% accuracy
MAST
79
The use of various medications to decrease the intensity of symptoms in an individual who is withdrawing from, or experiencing the effects of excessive use of, substances.
Substitution Therapy
80
A client has a dual diagnosis when it is determined that he or she has a co-existing substance disorder and mental illness. Treatment is designed to target both problems.
Dual Diagnosis
81
A physical and mental state of exhilaration and emotional frenzy and lethargy and stupor.
Intoxication
82
The physiological and mental readjustment that accompanies the discontinuation of an addictive substance.
Withdrawal
83
C2H5OH or ETOH whiskey means "water of life" around since 6400BC
alcohol
84
peripheral nerve damage; pain, burning, tingling etc Common in chronic alcoholics Process reversible, if abstinence of alcohol and restoration of nutritional defeciences
Peripheral Neuropathy
85
acute or chronic pain/swelling, poss. blood in urine Vit B deficiency Abstinence from alcohol
Alcoholic Myopathy
86
Most serious form of thiamine deficiency | death can occur
Wernicke's Encephalopathy
87
confusion, loss of memory and confabulation
Koraskoff's Pychosis
88
effects of alcohol on the heart is an accumulation of lipids in the myocardial cells, resulting in an enlargement and a weaken condition.
Alcoholic Cardiomyopathy
89
inflammation and pain in the esophagus-toxic effects of alcohol on the esophageal mucousa
Esophgitis
90
effects of alcohol on the stomach include inflammation of the stomach include inflammation of the stomach lining. -break down the stomach lining mucosal barrier-allowing acid to erode stomach wall.
Gastritis
91
acute or chronic 1 to 2 days after binge of excessive alcohol consumption.
Pancreatits
92
inflammation of the liver caused by long term heavy alcoholism use
Alcoholic Hepatits
93
``` "crocodile" 10x more potent 10x cheaper Russia now AZ extremely addictive; rots skin inside and out opiate like heroin ```
Desomorphine
94
methylenedioxpyrovalerone bath salts; zombie drug crystal meth and LSD
MDPV
95
reversal drug for opioids
Narcan
96
bupernorfen and nocloxin 28 days immediate through 3 weeks blocks high withdrawing antihypertensive for opioids withdrawal
Syboxin