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Mental Health > Chapter 22 : Substance Related Addictive Disorder > Flashcards

Chapter 22 : Substance Related Addictive Disorder Flashcards

(69 cards)

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1
Q

What is substance use disorder?

A

Pathological use of substance that leads to a disorder of use

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2
Q

Symptoms that fall into major groupings include?

A

Impaired control
Social impairment
Risk use
Physical effects

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3
Q

Levels of abuse

A

2-3 : mild
4-5 : moderate
6 + : severe

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4
Q

What is addiction?

A

Primary, chronic disease of brain reward, motivation, memory, and related circuitry

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5
Q

Characteristics of addiction

A

Reward

Participation despite consequences

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6
Q

What are some non substance abuse addiction?

A 
Gambling 
Sex
Internet 
Social media 
Shopping / spending
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7
Q

What is withdrawal?

A

The feeling of discomfort, distress, and intense craving for a substance that occurs when the substance or activity stops

Person may seek for more

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8
Q

Bath salts are similar to?

A

Cocaine
Meth
MDMA
LSD

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9
Q

How does one build a tolerance to a certain drug?

A

Dopamine, an imbalance of it will cause the threshold to increase causing for someone to crave it even more

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10
Q

What is screening tool used and why is it used?

A

It’s the CAGE questionnaire

And it’s used to indentify early intervention

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11
Q

Important information to retrieve from assessment are?

A

Periods of abstinence
Previous withdrawal manifestations
Date last used/addictive behavior

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12
Q

What does alcohol promote?

A

Promotes relaxation
Decrease social anx
Maintain calmness

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13
Q

Common signs of alcohol withdrawal

A

Shakiness
Jitters
Insomnia (since it’s use aids in sleep)
Impaired cognition (stress levels may increase since it also aids in decrease of anx)
Mild perceptual changes (can be RT delusions and hallucinations)

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14
Q

What is the most severe withdrawal symptom in alcohol that calls for a medical emergency?

A

Psychosis

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15
Q

What medication aids in tremors/agitation caused by alcohol withdrawal symptoms?

A

Chlordiazepoxide (Librium)

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16
Q

When can you expect psychosis to occur once alcohol has been withdrawn?

A

8-10 hours

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17
Q

What other medications can be used for alcohol withdrawal?

A

Benzodiazepines : diazepam (Valium) or lorazepam (Ativan)

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18
Q

When can you expect withdrawal seizures in alcohol?

A

12-24 hours

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19
Q

Alcohol withdrawal delirium can be seen when?

A

Anytime in the first 72 hours

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20
Q

When patients experience psychosis like hallucinations and delusions after cessation of heavy drinking, what are they most at risk for?

A

Risk danger to themselves and others

Illness : pancreatitis, hepatitis

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21
Q

What medication can be use to prevent alcohol withdrawal?

A

Valium (diazepam)

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22
Q

When patient is experiencing psychosis due to alcohol withdrawal, what medication can be useful?

A

Lorazepam (Ativan) IV

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23
Q

Alcohol-induced persisting amnestic disorder are what?

A

Wernicke

Korsakoff

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24
Q

What is Wernicke-syndrome

A

Memory reducing syndrome
Reversible
Acute

May progress to korsakoff

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25
What is korsakoff syndrome?
Severe and chronic of Wernicke
26
Medication for Wernicke and Korsakoff?
Thiamine
27
What is SBIRT ?
It’s a screening too used to intervene early and provide treatment for people with SUBSTANCE disorder and for those at risk for developing these disorder.
28
What’s does SBIRT stand for?
Screening Brief intervention Referral to treatment
29
What does AUDIT stand for?
Alcohol use identification test
30
What does cage stand for?
Do you ever feel like you needed to CUT down? Are people ANNOYED by your drinking? Have you felt GUILTY about drinking? Have you ever had a drink in the morning (EYE OPENED?)
31
CAGE AID ?
CAGE w/ adaptive to include drugs
32
What does TACE stand for?
Tolerance Cutdown Annoyance Eye opener
33
Alcohol uses assessment include?
``` Background Pattern of use Mental health symptoms History or trauma Family history Strengths Willingness to change ```
34
Plan in substance abuse disorder include
Patient centered approach Patient goals Patients ability to recognize the problem and readiness or motivation for change
35
Number one intervention for substance use disorder
Providing safety and sleep
36
Second priority intervention for substance use disorder
Nutrition
37
You are caring for a patient on the unit who suffers from substance use disorder, what is your third priority?
Self care
38
Other psychosocial interventions include
Developing therapeutic relationships Understanding of coping skills Identify new coping skills Help is setting goals
39
What do nurses have to monitor frequently in patients who suffer from substance use disorder?
Vital signs
40
Why are vital signs important to maintain in patients who are suffering from substance use disorder?
Because elevated BP/P/T are CLEAR signs of withdrawal
41
What are some signs of withdrawal
Increase P/BP/T
42
What is the nurses goal for patients who suffer from substance use disorder?
SAFETY!
43
Disulfiram (antabuse) Teach
Maintenance, relapse prevention, aversion therapy To avoid all alcohol - mouth wash - cough syrup
44
Naltrexone Teach
Used for - withdrawal, relapse prevention, decrease cravings Patient must stay away from opiate 10 days before admin of naltrexone
45
Acamprosate calcium Teach
Relapse prevention Take on 5th day of abstinence from Alcohol Contraindicated - renal impairment
46
Benzodiazepines used for withdrawals
Lorazepam, diazepam, chlodiazepoxide
47
Anticonvulsant for substance use disorder
Tegretol - withdrawal
48
Barbiturate for substance use disorder
Phenobarbital - withdrawal
49
Clonidine indications
Mild to moderate withdrawal
50
The care continuum for substance use disorder
``` Detox Rehab Halfway house Other housing Partial hospitalization Intensive outpatient AA Relapse prevention ```
51
Antidote for Benzodiazepines
Flumanezil
52
Sedatives / hypnotics over dose (Benzodiazepines/ Barbiturates) Treat :
``` gastric lavage Activated charcoal VS check (continuous) ```
53
Cannabis treatment
Abstinence and support Therapy - individual, group, family Meds : anti anxiety
54
Crystal meth treatment
Antipsychotic Benzodiazepines (diazepam) After symptoms subside, treat depressing with bupropion
55
Tobacco / nicotine treat
Behavioral therapy Hypnosis Patch Antidepressant - bupropion (Wellbutrin)
56
Opioid overdose treatment Morphine Hydromorphone Heroin
Nalaxone
57
Heroin withdrawal managed with what medication?
Methadone
58
Inhalants : gasoline, butane Treat :
Haloperidol
59
Hallucinogen treatment
``` Talking down patient Haloperidol Benzodiazepines (diazepam) ```
60
Symptoms the nurse should look out for with opioid intoxication?
Bradycardia Hypotension Hypothermia
61
Cocaine exerts which of the following effects on a patient?
Increased metabolism
62
An appropriate long term goal or outcome for a recovering substance abuser would be that the patient will...
Abstain from the use of mood altering substances
63
What is the most appropriate nursing DX for a patient who exhibits and experiences a loss of relationships and occupation due to a focus on alcohol?
Risk for suicide
64
Symptoms that suggest the use of marijuana by a patient?
Increase HR and appetite
65
Signs of opioid withdrawal are
Sweating Runny nose Sleeplessness Enlarged pupils
66
Tachycardia, hypertension, hyperthermia are signs of what?
Opioid withdrawal
67
Opioid INTOXICATION elicits what symptoms?
Decreased - BP - TEMP - HR
68
Aversion therapy approach to addiction
Disulfiram
69
Extreme alcohol intoxication symptoms are?
Drowsiness Slurred speech Loss of coordination Low body temp

Mental Health (2 decks)

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