Mental Health part #3 Flashcards Preview

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Flashcards in Mental Health part #3 Deck (161)
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1

the habitual use of a substance that falls outside of medical necessity or social acceptance for the single purpose of altering ones mood, emotion, or state of consciousness and resulting in adverse effects to the abuser or to others

abuse

2

a habitual psychological and physiological dependence on the substance beyond ones voluntary control

addiction (dependence)

3

when the body adapts to the substance and gradually requires increasing amounts of the substance to reproduce the effects originally produced by smaller ones

tolerance

4

transitory recurrences of perceptual disturbance caused by a persons earlier use of a hallucinogenic drug when in a drug free state

flashback

5

combination of drugs can intensify or prolong the effect

synergistic effects

6

combination of drugs to weaken or inhibit the effect of one of the drugs

antagonistic effects

7

people who are co dependent often exhibit over responsible behavior (doing for others what others could just as well do for themselves)

codependence

8

what are some co dependent behaviors

attempting to control someone else's drug use
finding excuses for the persons use
covering up the persons drinking/drug use
feeling responsible for the persons use
eliciting promises for change

9

a maladaptive pattern of substance use leading to clinically significant impairment or distress, as manifested by one or more of the following, occurring within a 12 month period

substance abuse

10

addiction is characterized by

loss of control and tendency to relapse

11

what plays a major role in all addictions

dopamine

12

how do drugs work in the body system

they effect the limbic system, the brain circuits allow pleasure, which increase the response to dopamine, the 1st time of use, neurons release an abnormally high amount of dopamine, eventually the user needs increase amounts to achieve the same feeling

13

name CNS depressants

alcohol
barbiturates
benzodiazepines

14

barbiturates

sedative hypnotic
slight overdose can cause coma or death
addictive

15

benzodiazepines
aka date rape drug

sedative hypnotic
minor tranquilizer
addictive
produces sedation, muscle relaxation, and lowers anxiety levels
combined with alcohol can be lethal

16

examples of benzodiazepines

versed, Xanax, Ativan, Librium, valium

17

over dose on benzodiazepines/barbiturates

cardiovascular or respiratory depression, coma shock, convulsion, death

18

withdraw effects of benzodiazepines/barbiturates

N/V, tachy, diaphoresis, anxiety, tremors, grand mal seizures, delirium

19

the body burns how much alcohol in an hour

0.5 oz

20

alcohol intoxication

slurred speech, incoordination, unsteady gait, drowsiness, decreased blood pressure

21

excessive etoc interferes with storage of new memories in hippocampus, lost from memory within minutes of its occurrence

alcoholic blackouts

22

when does alcohol withdraw develop

4-12 hours after cessation or reduction of use

23

when does alcohol withdraw peak

24-48 hours

24

S/sx of alcohol withdrawal

tachy, sweating, increase BP, tremors, insomnia, psychomotor agitation, anxiety, N/V, malaise, grand mal seizures, transient visual hallucinations

25

intervention for alcohol withdraw

support measures, benzo's (Librium for WD S/SX)
if they have a Hx of WD seizures: clonodine

26

alcohol withdraw delirium

MEDICAL EMERGENCY
death is usually due to sepsis, MI, fat embolism, peripheral vascular collapse, electrolyte imbalance, aspiration pneumonia, or suicide

27

S.Sx of alcohol withdraw delirium

disorientation, tachy, diaphoresis, increase BP, perceptual disturbances, fluctuating LOC

28

Sx of overdose

cool or clammy skin, respirations less than 10/min, cyanosis, emesis while semiconscious, or conscious, seizure

29

Tx for overdose

AIRWAY
if awake induce vomiting, VS Q15 minutes
if coma clear airway, IV fluids, gastric lavage with activated charcoal

30

most serious form of thiamin deficiency, paralysis of ocular muscle , diplopia, ataxia
death if thiamine tx not implemented

wernickes encephalopathy