Week 9 Substance Abuse Flashcards Preview

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Flashcards in Week 9 Substance Abuse Deck (21):
1

stats on drinking

1/2 of people over 12 drink
1/4 are binge drinkers
and 10% are heavy drinking

2

risks of drinking

-cancer of the mouth
-cancer of esophagus
-cancer of liver
-cancer of breast
-cirrhosis of the liver
-cardiomegaly
-HTN
-arrhythmias

3

what are reports on pregnant women drinking?

- 11% use it
-5% are binge drinkers
-1 are heavy drinkers

4

4 step pocket guide for alcohol screening and brief intervention

1. ask about alcohol use
2. assess for alcohol use disorders
3. advise and assist
4. follow up and continued support

5

step one assessment for use

1. do you sometimes drink
2. how many times a in the past year you had 5 or more drinks a day or 4 or more for a women
if the answer is more then 0 then
3. how many days out of a week do you have an alcoholic drink
4. on a typical day how many drinks do you have
5.weekly average day/week x drinks/day

6

Step 2: Abuse

in the past year has your drinking repeatedly caused:
1. risk of body harm
2. relationship trouble
3. role failure
5. run in with the law
THE PERSON HAS ALCOHOL ABUSE IF YES TO ONE THING ABOVE
in the past 12 months have you
-not been able tons top
-not been able to stick with limits
-shown signs of withdrawal- sweating or tremors
-spent a lot of time drinking
-less time other things
-show tolerance- need to drink more now
if yes to three or more things above then alcohol dependence

7

how do yow if someone has a alcohol use disorder

- if yes to abuse or dependence

8

step 3- advice and assist

1. at risk driving- are they ready to change? what are the risks and ways to change it

9

Ready to change- Transtheortical model

- no- restate concern and encourge reflection and address barriers to change
- yes- help set a goal, agree on a plan and provide educational materials

10

how do you use step 3- advise and assist on someone who has an alcohol use disorder vs acohol dependence disorder

- state conclusions and recommendations
- negotiate a drinking goal
-consider evaluation by an addiction specialist
-mutal help group
FOR DEPENDENCE-
-withdrawal meds
-medication
have a follow up

11

step 4 con support

-are you able to meet and sustain goals
-YES- reinforce
-NO-address coexiting behaviors and con treatment

12

alcohol withdrawal
2 STAGES AND A SCALE

-uncomplicated
-withdrawal
-CIWA scale

13

Alcohol withdrawal-uncomplicated

-shortly after cessation
-peaks at 2 day
-improves 4th or 5th day
-coarse tremors of hands, tongue, eyelids
-anorexia, malaise
-nausea, vomiting
-autonomic hyperactivity- tachycardia, sweating, elevated BP)
-heachache, insomnia, anxiety, depression, irritability, hallucations

14

withdrawal delirium
5 SYMPTOMS AND WHEN DOES IT HAPPEN

o Extremely high BP and HR – can blow vessels
o Coarse irregular tremors
o Vivid hallucinations and delusions
o Very high fever
o Life threatening
1 WEEK AFTER STOPING

15

Clinical withdrawal assessment for alcohol

0-7 : nausea, vomiting tremors, anexity, paroxysmal, tactile disturbances, auditory disturbances, visual disturbances and headaches
0-4 : orientation and clouding OF SENSES
64: max score
mild less then 15
moderate 16-20
serve over 20

16

how do people often use tobbaco?

with other substances

17

subjective questions fo tobbaco use

-current or past
-how many packs
-years
-pack years
-when did you quit

18

cessation tobacco use
4 things to help you quit

- stages of change
behvaioral therapists
medical mangement: nicatine gum, patches, chantix (GI side effects), e- Ciggs

19

when assessing for drug abuse- what questions should you ask?
what time frame answers looking for answers in?

6 questions

● In the past 3 months....
○ How often have you used this substance?
○ How often have you had a strong desire to use?
○ How often has your used led to health, social, legal, or financial problems?
○ How often have you failed to do what was normally expected of you (home, work, school)?
● Has a friend or relative or anyone else ever expressed concern about your use?
● Have you ever tried and failed to control, cut down, or stop using?

20

clinical opiate withdrawal scale

mild
moderate
serve
max

rate on 0-4:
resting pulse, sweating, bone/joint ache, runny nose/tearing, tremors, yawning, anexity
0-5
restlessness, pupil size, GI upset, gooseflesh skin
max- 48
5-12 milkd
13-36 moderale
serve 36+

21

recommendations with illict drug abose
assist
assess
assist
arrange

med advice relataed to drugs
determine readines to change
offer help
refer to speacalist