substance abuse- exam 3 Flashcards

(60 cards)

1
Q

What is a substance use disorder

A
  • there is a pattern of use/unable to quit
  • Causes the individual problems.
  • Physiological changes
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2
Q

What is the DSM 5 criteria for substance use disorders (including the ones for pattern of use/impaired control, social impairment, risky use, and pharmacological criteria)

A

Pattern of use develops because of impaired control, as evidenced by:
- Taken in larger amounts and or over longer. than intended.
- Tries unsuccessfully to quit
- Increased time acquiring using or recovering from substance.
- Intense craving for the substance
Causes the individual problems significant social impairment or distress:
- use disrupts commitments at work, school or home.
- Social, occupational, recreational, activities given up
- Social and interpersonal problems, including verbal or physical fights
Causes the individual problems involves risky or hazardous use:
- Use in situations which are physically dangerous. For example, DWI
- Legal problems, including substance related arrests
- Worsening physical or psychological problems.
- Failure to abstain despite these difficulties.
Evidence of the body’s physiology has changed:
- Tolerance and withdrawal

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3
Q

What is withdrawal

A

Symptoms, including negative physiological and psychological reactions occur in absence of the substance; and/or the substance is taken to avoid symptoms

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4
Q

What are delirium tremens?

A

Caused by sudden drop in blood alcohol content in a chronic alcohol drinker, and includes hand trimmer, hallucinations, increased sweating and seizures

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5
Q

What are the different types of tolerance? And how do they work

A

Increased liver enzymes (inducible)
receptor down regulation or inactivation
learned or homeostatic tolerance

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6
Q

What are depressants

A

Slows down functioning
effects GABA (brains brake)
Inhibits
Keeps neurons from sending signals

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7
Q

What neurotransmitter system do depressants act on?

A

Slows the functions of the central nervous system, slow body functions- GABA

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8
Q

What are the overdose of symptoms for barbiturates, benzos, and alcohol

A
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9
Q

What is the CNS action of depressants

A

Slows the central nervous system by inhibiting the neurons and keeping them from firing.

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10
Q

What are the initial behavioral side effects of alcohol

A

It is stimulating reduces, reduces tension stress; relaxes inhibitions

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11
Q

What are the later effects with larger doses of alcohol

A

loss of motor coordination, sedation, and sleep.

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12
Q

What kind of drug is alcohol? And how does it work in the CNS

A

Alcohol is a depressant and it and it inhibits the neurons from firing. It slows the central nervous system

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13
Q

How does the body get rid of alcohol/primarily by the action of which organ

A

Alcohol is absorbed directly into the blood and metabolized by the liver, using inducible enzymes

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14
Q

define binge

A

5 drinks in a row for men, 4 drinks in a row for women.
A drink is 12 ounces of beer, 5 ounces of wine, or 1 1/2 ounces of hard liquor.

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15
Q

Define polydrug use

A
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16
Q

What is FASD

A

Fetal alcohol syndrome disorder

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17
Q

What is cirrhosis

A
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18
Q

What is AA, who runs AA, and what are the 12 steps

A
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19
Q

What happens to the GABA receptor when depressants are used

A
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20
Q

What are synergistic effects and cross tolerance?

A
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21
Q

Which neurotransmitter systems do stimulants work on

A
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22
Q

What are stimulants

A
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23
Q

What are the specific mechanisms of action for cocaine and amphetamine

A
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24
Q

What are the signs and symptoms of a potential overdose on stimulants?

A
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25
What are the medical uses of stimulants
26
What are several things amphetamines can be used for
27
What are opiates and narcotics medically used for
28
What are some examples of opiates and narcotics
29
What neurotransmitter system does opiates and narcotics work on
30
What are signs and symptoms of an overdose on opiates/narcotics
31
What are signs of withdrawal from opiates/narcotics
32
What is methadone and what is narcan? And what are they used for
33
What are hallucinogens
34
What is the name of the plant marijuana comes from
35
What is the active ingredient in marijuana? And what receptor does it bind to
36
What are the therapeutic/medical effects of marijuana
37
What are effects marijuana can have on sleep? And hormones secretion
38
What is hassish and marinol
39
What are benefits and problems of smoking as the route of administration for hallucinogens
40
What are entourage compounds
41
What is CBD?
42
What is retrograde synaptic transmission
43
What is PCP and what are the signs and symptoms of someone on it?
44
What is MDMA
45
What are substance-induced disorders
46
What are treatments for substance abuse
47
What is reward craving
48
What is relief craving
49
What is detox and how does it work?
50
What is disulfuram
51
What is naltrexone
52
What other addiction is included in this group in the DSM 5?
53
What are the two theoretical areas of dysfunction in the brain, causing the inability to control use?
54
What is a Blum's Reward Deficiency syndrome
55
What does blums reward deficiency syndrome have to do with the nucleus/accumbens and pleasure center, MFB, brain stem/VTA, D2 receptors
56
Who was James Olds, Kenneth Blum?
57
What is EBS
58
What normally triggers the reward system
59
Which neurotransmitter is released in the nucleus accumbens when we experience reward? How do humans describe this?
60
What puts an individual at risk for substance abuse disorders