Mental health study guide test#1 Flashcards Preview

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Flashcards in Mental health study guide test#1 Deck (41):
1

intoxication

physical and mental state of exhilaration and emotional frenzy, lethargy or stupor.

2

withdrawal

physiological and mental readjustment that accompanies discontinuation of an addictive substance.

3

Question to ask pt, with dependence, alcohol abuse?

when was the last time did u abuse alcohol or substance?

4

Substance abuse

In a 12 month of period: on or more of this should happen. Either recurrent use resulting role failure in home or school.2)it's creating physically hazardous continued due to impairment and their following of continue of legal problems

5

substance abuse hallmark sign

loss of control( main one). pt builds more tolerance to get the same effect which leads to getting more substance abuse.

6

cross tolerance

building tolerance to one chemical similar family. For ex-benzo, alcohol, barbi are located in close proximity on the GABA receptor.

7

Cross-dependence

one drug can prevent withdrawal symptoms associated with physical dependence on a different drug.
Example-Heroin addicts us Methadone to detox.

8

Biopsychosocial Theories

Biochemical- alcohol may produce morphine like substance in the brain.
Genetic vulnerability- children are prone to alcohol 3 to 4 times more.

9

Biopsychosocial theories#2

personality defects-intense sensory input,passive, can' learn from aversive conditions .

10

Conditioning

feeling pleasure becomes reinforced.

11

Pleasure reward system

dopamine-where the addictive behaviors become reinforced.

12

psychoanalytical theory

regressed and fixated, in oral stage -Erik Erickson theory

13

soci-cultural theory

social forces, role models, respond to stress in our environment and ethnic group

14

Family systems theory

codependent- people pleasures, competent outside and helplessness from inside.

15

Alcohol/Alcoholism blood level

100-200 mg/dL is=intoxication, Death can occur with level of 400-700 mg/dL

16

alcohol effects

depression, malnourished and loss of self respect.

17

Alcohol minor withdrawal

(4-12hrs) anxiety, agitation, irritability, nausea and vomiting.

18

alcohol major withdrawal

life threatening, hypertension, tachycardia, confusion tremors, hallucinations and seizures.Alcohol withdrawal delirium( 2-3 days). Drinking before going to sleep decreases REM sleep.

19

Assessment

CAGE, Cut down, annoyed, guilt and eye opener.
objective-VS, Appearance, Neuro checks and toxicology screen

20

Disease of alcoholism

Biological- inherited , progressive- continues downward spiral whether the alcoholic stop drinking or not.

21

Medical/psycho social

GI-esophageal bleeding, gastritis and pancreatitis
cirrhosis( low blood flow)=portal hypotension
hepatic encephalopathy- Liver can't convert ammonia to urea which equal impaired mental functioning
Nutritional deficiency- vitamin B thiamine
infectious disease-pneumonia and TB

22

Medical/psych social#2

cardio- hypertension, cardiomyopathy
leukopenia- production, function and movement of wbc is impaired.
thrombocytopenia -production and survival of platelets is impaired .

23

Medical treatment for alcoholism

First thing monitor VS frequently
check pt fluids status if its over or more
Give magnesium sulfate to prevent seizures and you can Dilantin if pt has history of Seziures before too.
give pt thiamine and multivtiamins.

24

Detox pt primarily on first

Librium and diazepam for short term

25

med for long term

Buspar

26

Treatment for withdrawal

safety#1, sitter, If pt has hallucinations then nurse should orient them because it's part of the withdrawal
No Restrain

27

Bupar bus

Teach pt, its take's long time like 3 to 4 weeks to work.
take with food.
its interacts with serotonin and DA
in the bus pt can became dizzy and drowsy.

28

Amphetamine intoxication

RADICAL PEA PATA
Restlessness,Agitation, dilated pupils, increase respiration's,confusion and lost of appetite.
PEA -Paranoid, elevated BP, Agitation
PATA- psychosis assaultive behavior, Tremors, arrhythmia's

OD-cardiac symptoms

29

Amphetamine withdrawal

DC,DC,SF,PR
DC=Depression, craving for substance
DC=disturbed sleep/dreams
SF=suicidal or paranoid
PR=psycho motor agitation

30

Barbi intoxication

GILL SHIT FED
GILL-gait problem,impaired memory or attention, labilty and irritability
SHIT- slurred speech, hallucinations,impaired memory , talkative
FED-fever, euphoric, delirium and dealth

31

barbi withdrawal

CIAO, SD,NM,LaTer
CIAO-coma, insominia, anxiety or tachycardia and orthostatuc drops
SD-seizures, decrease respiration
NM-Nausea and vomiting, muscle contractions
LaTer- Life threatening and tremor

32

Barbi meds

NSA- PBT
NSA- nemibutual, seconal, amytal
PBT-Phenobarbital, butabarbital and tunial

33

Sedative, hypnotic or anxiolytic INtoxication

INIIS
LISA, SIN
LISA= Labile, inappropriate sexual, slurred speech, Aggressive
SIN- Stupor, Impaired memory and attention, Ngstagmus

34

Sedative, hypnotic or anxioytic withdrawal

NADIA, PG,TVH
NADIA-Nausea, anxiety, diaporesis, insomnia and autonomic hyperactivity.
PG- psycho motor agitation and grand mal seizures
TVH- Tachycardia, vomiting and hand tremor

35

narcotic intoxication

ROME ICU SAD
ROME-respiratory depression, out of touch, Impaired memory, euphoric
ICU-impaired memory, clammy skin, unconsciousness to come,
SAD-slurred speech, Analgesic qualties and drowsy

36

Narcotic withdrawal

DR WANDA Y FIDM
DR- diaphoresis rhinorrhea
WANDA-watery eyes, abdominal cramps,nausea vomiting , dysphoric, anxiety
Y- yawning
FIDM-flu like symptoms , Insomnia, Dilated pupils, Muscle/joint pain

37

cocaine intoxication

APNA HDTV GAP
A-agugtation
P-paranpia
N-auses
A-arrthymia
H-hyperension/tachycardia
D-dilated pupils
T-talktivness
V-vominting
G-grandiosty
A-act directly blocks dopamine
P-perspiration

38

Cocaine

SPA HF
Severe craving
Psychomotor agitation
Anxiety
Fatigue depression

39

Inhalant intoxication

Later

40

Inhalants on CNs

Cerebral atrophy cerebellar degeneration, white matter lesions causing cranial nerve damage or pyramidal signs

41

Respirattoty

Oj