Week 9 Flashcards

1
Q

What is Praxis?

A
  • is the process of using a theory you have learned in a practical way
  • is used to apply knowledge in nursing situations to advance goals in society & in the world to eliminate any injustice & discrimination in care
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2
Q

What is the criteria for a ‘Substance Use Disorder’

A

1 criteria could indicate an individual at risk
2-3 criteria point to a mild substance use disorder
4-5 criteria show someone has a moderate substance use disorder
6 + criteria indicate a severe substance use disorder which signals an addiction to that substance

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3
Q

Define ‘Licit Drugs’

A

Are legal drugs & available by prescription or sold OTC

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4
Q

Define ‘Illicit Drugs’

A

are illegal drugs including (but not limited to) phenyclidines (PCP, Ketamine), hallucinogens (LSD, mescaline, psilocybin, MDA), stimulants (amphetamines, cocaine, crack), depressants (barbiturates, benzo’s) & opiates (heroin, morphine, methadone, codeine, fentanyl)

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5
Q

Define ‘Dependence”

A
  • is progressive in nature, & affects the physiological, cognitive, behavioural, & psychological dimensions of a person’s health
  • manifested by continuous use despite the presence of problems
  • results in tolerance, withdrawal, & compulsive substance taking behaviour
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6
Q

Define ‘physical dependence’

A
  • occurs when an individual’s body reacts to the absence of a drug with withdrawal symptoms
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7
Q

Define ‘psychological dependence’

A

occurs when a drug becomes central to a person’s thoughts & emotions

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8
Q

According to the CHMA, a simple way of describing “addiction” is by…

A

using the 4 C’s
- craving, loss of control of amount/frequency,
compulsion to use, continued substance use despite
problems

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9
Q

CHN’s pain mangement education should be…

A
  • respectful of underlying beliefs
  • must be evidence-based
  • in line with the lens of cultural safety
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10
Q

CHN’s need to use a_______ perspective for developing comprehensive community health interventions that _________

A

socio-ecological, acknowledge the link between person, substance, & environment

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11
Q

How can men & women reduce their long-term health risks by drinking no more than….

A

women: 10 drinks/week, with no more than 2 drinks a day “most days”

men: 15 drinks/week, with no more than 3 drinks a day “most days”

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12
Q

Drink slowly, have no more than ___ drinks in ____ hours

A

2, 3

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13
Q

Define what ‘Cannabis hyperemesis syndrome (CHS)’ is and what is it an example of?

A
  • results in reoccurring nausea, vomiting, dehydration, & abdominal pain
  • is an example of long-term health effects
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14
Q

Fentanyl is approx _____ times stronger than morphine

A

100

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15
Q

Define what ‘polysubstance’ is?

A

The use of more than one drug, also known as polysubstance use, is common. This includes when two or more are taken together or within a short time period, either intentionally or unintentionally.

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16
Q

Fentanyl
Classification:
Indications:

A

Class: synthetic opioid analgesic
Indications: pain management pre-operatively, general anesthesia, & analgesia

17
Q

Naloxone (Narcan)
Classification:
Indications:
Available in:

A

Class: opiate antagonist
Indications: unbinds opioids from receptors in the brain (fentanyl, morphine, codeine, heroin)
- reverses effects within 2-5 mins, lasts for 20-90 mins
Available in: IM & intranasal formats

18
Q

What is the Public Health of Ontario: Interactive Opioid Tool?

A
  • looks at opioid morbidity & mortality in ON
  • looks at ER visits, hospitalizations, & deaths
  • can be viewed by public health unit health integration network, age, sex, & in some cases drug type
19
Q

Define ‘Harm Reduction Approach’

A

is an umbrella term used to describe programs, policies, & practices that aim to reduce the negative consequences associated with behaviours that are typically considered high-risk

20
Q

Methadone
Class:
Indications:
Can it be used during pregnancy:

A

Class: is a long-acting opioid drug used to replace shorter-acting opioids that someone may rely on
Indications: prevents withdrawal symptoms & reduces cravings (if a dose is missed, the client will experience withdrawals) - effects usually last 24-36 hours

  • yes can be used during pregnancy
21
Q

Buprenorphine
Class:
Indiations:

A

Class: opioid partial agonist
Indications: used to replace shorter-acting opioids & lasts for 24-36 hours, used to treat pain & opioid addiction, helps diminish the effects of physical dependency to opioids such as withdrawal symptoms & cravings

22
Q

Why is injecting Cocaine problematic?

A
  • has a numbing effect on the vein + causes constriction so be careful you’re in the right spot before injecting (only lasts for a short period of time, so if you’re injecting multiple times it can be traumatic for the tissues)
23
Q

Cellulitis

  • common cause?
  • what can it progress to?
  • symptoms?
  • management?
A
  • is a type of infection that affects the skin & tissue underneath (causes pain & redness to the affected area)
  • Group A Streptococcal bacteria is a common cause

symptoms: redness, swelling of the site, pain, possible fevers, warmth at the site
- can progress to necrotizing fascitis & severe sepsis

management: assess the site, trace borders, blood cultures, culture swabs, antibiotic therapy

24
Q

Inefective Endocarditis

  • common cause?
  • symptoms?
  • diagnosis?
  • complications?
A
  • causes endothelial damage & is followed by infection from high bacterial loads
  • staphylococcus aureus is a common cause

Symptoms: fever, chills, tachycardia, fatigue, persistent cough, aching joints, shortness of breath, pallor, swelling in the feet/legs/abdo

Diagnosis: blood cultures, echocardiogram, ECG, CT

Complications: severe sepsis, septic emboli (can involve the lungs, kidneys, and brain causing vegetation to grow on heart valves causing damage & failure

Complications:

25
Q

What is ‘Saffer Supply’?

  • what might be provided?
A

Provides prescribed medications as a safer alternative to toxic illegal supplies that are of higher risk of overdose

  • opioids, stimulants, & benzodiazepines
26
Q

What differentiates substance use from problematic substance use?

A

Substance use disorder is a complex condition in which problematic patterns of substance use may interfere with a person’s life and lead to physical and/or psychological dependence and withdrawal symptoms.

27
Q

Explain 2 examples of harm reduction available in Canada

A

Needle Exchange Programs (NEP)
Supervised Consumptions Sites
Housing First
Safe Injection Education

28
Q

Explain 2 examples of harm reduction available in Canada

A

Needle Exchange Programs (NEP)
Supervised Consumptions Sites
Housing First
Safe Injection Education