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Flashcards in alcohol and substance abuse Deck (70)
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1

what are the most commonly abused drugs?

alcohol
nicotine
caffeine

2

most common age group to be affected by alcohol and substance abuse

18-34 but occurs at all ages

3

what is moderate drinking for men?

Fewer than 14 drinks/ week

4

What is moderate drinking for women?

fewer than 7 drinks/ women

5

what is a little intoxication drinking

fewer than 4 drinks per occasion for men and fewer than 3 drinks per occasion for women

6

what is "at risk" or hazardous use for drinking?

more than moderate drinking but don't have consequences yet

7

what constitutes at risk prescription drug users?

patients on mood altering drugs or prescription (Rx) pain medications for more than 3 months

8

what are problems related to Rx drug use

falls, oversedation, drug interactions, overdoses, or symptoms of dependence

9

Development of a reversible substance-specific syndrome due to recent ingestion of or exposure to a substance
Intoxication even without abuse or dependence, has risks

substance intoxication

10

nonspecific, nonmedical term referring to psychological and/or physical dependence that results in substance seeking behavior

Addiction

11

physiological changes that occur with drug or alcohol use and result in withdrawal symptoms when use is stopped
It may or may not be associated with substance seeking behavior

Physical dependence

12

craving or desire for the substance (can occur with or without physiological dependence)

Psychological dependence

13

DSM IV described abuse how?

substance abuse and substance dependence

14

DSM V describes substances problems as what?

substance use

15

A maladaptive pattern of use
Doesn’t meet criteria for dependence
Causes recurrent and significant adverse consequences
E.g., legal problems
Work problems
Problems at home
Person keeps using the substance despite the negative consequences

Substance abuse

16

A maladaptive pattern of use
Causes significant impairment or distress
Often has tolerance for the substance
Often has withdrawal when doesn’t take the substance
Tries unsuccessfully to cut down

substance dependence

17

two ways in which substance dependence can occur

1. With physiological dependence (if tolerance or withdrawal are present)
2. Without physiological dependence (if neither tolerance nor withdrawal are present)

18

what is remission for substance dependence?

Remission is defined as no longer meeting any of
the criteria for substance abuse or dependence for at least a month.

19

what are the substance use severities?

2-3 symptoms mild
4-5 symptoms moderate
6 or more symptoms severe

20

what are common causes of death from alcohol?

suicide
cancer
heart disease
hepatic disease

21

what increases risk of alcohol use disorders?

childhood hx of ADHD or conduct disorder

22

what metabolizes alcohol

liver by metabolism, small amount through kidney and lungs

23

what is higher in heavy drinkers w/ alcohol metabolism?

enzymes for alcohol so metabolism is more rapid

24

what inhibits aldehyde dehydrogenase?

antabuse (disulfiram) making the person sick

25

what is one drink of 80 proof liquor?

1.25 oz

26

what is one drink of table wine?

5 oz

27

what channel is alcohol associated w/

GABA

28

what should you not take w/ alcohol

barbiturates
benzodiazepines
depress respiratory drive

29

what is the leading cause of mental retardation?

fetal alcohol syndrome

30

what is the presentation of fetal alcohol syndrome?

Characterized by microcephaly, craniofacial malformations, limb and heart defects, short stature, cognitive problems