Drug Abuse

Question 1

What do we need to know about drug abuse

Answer 1

TOXICITY, facilitating WITHDRAWL, LONG-TERM

Question 2

What is a drug addiction

Answer 2

Diseases precess of using drug even though they know it’s BAD for them

Question 3

What are some factors that contibute to drug abuse

Answer 3

REINFORCING properties of drugs, DEPENDENCE, AVAILABILITY, SOCIAL factors

Question 4

What can dabaling and prescitption drugs lead to

Answer 4

Addiction

Question 5

What happens in most treatment

Answer 5

Reduced drug use

Question 6

What is the ideal goal of treatment

Answer 6

Complete cessation

Question 7

What is the most commonly used and abused psychoactive agent in the US

Answer 7

Alcohol

Question 8

What can moderate consumption of alcohol lead to

Answer 8

Prolongs LIFE, reduces risk of DEMENTIA and CARDIOVASCULAR disorders

Question 9

What are the acute effects of alcohol

Answer 9

General depression of CNS function

Question 10

What are the two neuropsychiatric syndromes of alcohol

Answer 10

Wernicke’s encephalopathy, Korskaoff’s psychosis

Question 11

What happens with Wernicke’s encephalopathy

Answer 11

CONFUSION, NYSTAGMUS, REVERSIBLE with THIAMIN

Question 12

What is hepatic encephalopathy

Answer 12

Anomium

Question 13

What is Korsakoff’s psychosis

Answer 13

NEUROPATHY, MEMORY, NON reversible

Question 14

What can alcohol do to the cardiovascular system

Answer 14

Damage to the myocardium

Question 15

What is nonviral hepatitis

Answer 15

The precursor to SCEROSIS

Question 16

What is a very common issue with alcohol

Answer 16

Pancreatitis

Question 17

What is the BAL of intocication

Answer 17

0.08

Question 18

What is the BAL of death

Answer 18

0.40

Question 19

What are the drug interactions of alcohol

Answer 19

CNS depressants, NSAIDs, ACETAMINOPHEN

Question 20

Why is hypotension from an OD of alcohol bad

Answer 20

Can NOT be reversied with vasoconstrictors (epi) can LEAD to SHOCK

Question 21

What are the two different types drugs for alcohol use disorder

Answer 21

Facilitate withdrawal, maintain abstinence

Question 22

What are chlordiazepoxida and lorazepam

Answer 22

Benzodiazepines (CNS depressants)

Question 23

What does disulfiram do

Answer 23

Refrain from drinking

Question 24

Who gets disulfiram

Answer 24

Chosen carefully

Question 25

What does naltrexone do

Answer 25

Decrease CRAVINGS for alcohol

Question 26

What are most alcoholics deficit in

Answer 26

B vitamins

Question 27

What is the greatest single cause of preventable illness and premature death

Answer 27

Cigarette smoking

Question 28

What does nicotine do to the cardiovascular system

Answer 28

CONSCTICTS blood vessels, ACCELERATES the heart, ELEVATION of BP, INCREASED cardiac work

Question 29

What does nicotine do to the GI tract

Answer 29

Increases secretion of gastric ACIDS

Question 30

What are some forms of nicotine replacement therapy

Answer 30

Gum, patches, nasal sprays, inhaler

Question 31

What are cupropion and varenicline

Answer 31

Non-nicotine drug treatments

Question 32

What are the 5A's for treating tobacco use and dependence

Answer 32

Ask, Adivse, Assess, Assist, Arrange

Question 33

What should you tell your pts about nicotine gum

Answer 33

SLOWLY for 30 mins, avoid eating or drinking for 15 before and after

Question 34

What should you know about nicotine inhalers

Answer 34

Should not be used by patients with ASTHMA

Question 35

What does bupropion SR do

Answer 35

Reduces the URGE to smoke

Question 36

What type of drug is varenicline

Answer 36

Agonist at nicotinic receptors

Question 37

What is varenicline

Answer 37

The most effective aid for smoking cessation

Question 38

What are the adverse effects of varenicline

Answer 38

Neuropsychiatric effects: HOSTILITY, SI

Question 39

What should you NOT use for helping to stop smoking

Answer 39

Benzos

Question 40

What is the age that uses heroin the most

Answer 40

18-25 years old

Question 41

Why do people choose heroin

Answer 41

Cheaper than opioid prescriptions

Question 42

How does oxycodone work

Answer 42

Controlled-release drug, ABUSERS CRUSH the med

Question 43

Who uses meperidine the most

Answer 43

Healthcare providers

Question 44

Why do people use meperidine

Answer 44

Oral route, less problems

Question 45

What does methadone do

Answer 45

Prevents symptoms of withdrawals, use when BRINING OFF

Question 46

What does naltrexone do

Answer 46

Reduces CRAVING

Question 47

Why are barbiturates bad

Answer 47

They are STRONG and have NO ANTIDOTE

Question 48

What do you need to do if your pt has barbiturates toxicity

Answer 48

Maintain respirations and remove the drug (barf, charchol)

Question 49

What is the antidote for benzodiazepines

Answer 49

Flumazenil

Question 50

What type of drugs are methamphetamines and cocaine

Answer 50

Stimulants, puts stress on the HEART

Question 51

What are the treatments for cocaine

Answer 51

Diazepam or lorazepam, external COOLING

Question 52

What happens to a persons nose to cocaine

Answer 52

Atrophy

Question 53

Is there an anticocaine vaccine

Answer 53

Yes it keeps the drug from entering CNS

Question 54

What happens to most of the THC in weed

Answer 54

Inactivated by the first-pass effect

Question 55

What are the therapeutic uses of marijuana

Answer 55

Antiemetic, appetite stimulant, neuropathic pain

Question 56

What is psilocybin

Answer 56

Mushrooms

Question 57

What is ketamine used for

Answer 57

Surgical anestetics

Question 58

What is dextromethorphan

Answer 58

Cough suppressant, abused by TEENS

Question 59

What does exstasy do to the body

Answer 59

Raise body temp, seizures