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nurs 211
substance abuse
| Question | Answer |
|---|---|
| what mood altering subtances are acceptable in society | alcohol, caffeine and nicotine |
| substance related disorders: what are the 2 groups; what are substance use; what is substance induced' | substance use disorder and substance induced disorders; abuse and dependence; intoxication, withdrawal, delirium, dementia, amnesia, psychosis,mood disorder, anxiety disorder, sexual dysfunction, sleep disorder |
| def substance abuse | a maladaptive pattern of substance use manifested by recurrent and significant adverse consequences r/t repeated use of the substance |
| substance abuse is also any use of substances that pose hazards to what | health |
| what is criteria for substance abuse: | recurring abuse and failure to fulfill role at work, using ins physically hazardous situations, legal arrests from use, continued use despite having persistent social problems |
| substance dependence: def; | evidenced by a cluster of cognitive, behavioral, and physiological s/s, use despite sign. substance related problems; |
| substance dependence: continued use is needed to prvent what; dependence is promoted by the tolerance to what | withdrawal; substance |
| def tolerance | the need for increased amounts or more frequent doses of substance in order to obtain desired effects originally produced by lower doses |
| psychological dependence def | when there is an overwhelming desire to repeat the use of a particular drug to produce pleasure or avoid discomfort |
| substance dependence: with this there is evidence of what 2 things; larger ___ is needed over time; there is a diminished effect with continued use of what amount of the substance | tolerance, withdrawal s/s; amounts; same |
| substance dependence: there is an unsuccessful effort to do what; lots of time spent doing what; what is avoided or reduced | cut down substance intake; obtaining drug; occupational, recreational or social activites |
| substance intoxication: def; develops from a reversible what; behavior changes from physical effects where in body | a physical and mental state of exhilaration and emotional frenzy or lethargy and stupor; substance- syndrome; the brain |
| substance intoxication: changes are not due to what | a general med condition or other mental disorder |
| substance withdrawal: def; | the development of a substance specific maladaptive behavior change with physiological and cognitive components due to cessation or reduction of heavy and prolonged use |
| what are the classes of psychoactive substances | ETOH, amphetamines, caffeine, cannabis, cocaine, hallucinogens, inhalants, nicotine, opioids, PCP, sedatives, hypnotics anxiolytics |
| substance abuse: predisposing factors- heredity especially problem with what | ETOH; |
| substance abuse: predisposing factors- persons with what type of superegos turn to what to diminish unconscious anxiety and increase felinngs so powerful and self worth; what is used to control panic; what diminishes anger; what is abuse to relieve depres | superegos; ETOH; opioids; amphetamines |
| substance abuse: predisposing factors- what personalities; this happens through what else when growing up | low self esteem, depression, passivity and inability to relax, antisocial; modelling |
| ETOH abuse: why is it classified as a Food; 1/5 drinkers are what type of drinker; 3rd leading cause of what; heavy drinking contributes to what | bx it contains calories; binge; preventable death in the US; heart disease, cancer, stroke |
| ETOH abuse: how many phases of the alcoholic drinking progress | 4 |
| phases of the alcoholic drinking progress: phase 1- use of ETOH to relieve what; a child learns the use of ETOH is acceptable method of what; what develops with drinking; with tolerance the amount required increases or decreases | stress and tension; coping; tolerance; increases |
| phases of the alcoholic drinking progress: phase 2- they early ___ phase; what begins in this phase; is it a source of pleasure anymore; it is now a ___ that is required; tgey are preoccupied with what; used of what | alcoholic phase; blackouts; no; drug; drinking; rationalization |
| phases of the alcoholic drinking progress: phase 3- aka; is there physiological dependence; is the person ill; what is total focus; willing to lose ___ to maintain addiction | the crucial phase; yes; yes; drinking; everything |
| phases of the alcoholic drinking progress: phase 4- aka; are they more sobor or more intoxicated; there is what physically; abstention from ETOH results in what | chronic phase; intoxicated; decline in every body system; hallucinations, tremors, conbulsions, severe agitation, panic |
| ETOH effect on body: why is there peripheral neuropathy; | deficient vit B and thiamine; |
| ETOH effect on body: alcoholic myopathy- caused by what; improves with what; acute s/s; chrnic s/s | vit B def; abstinence from ETOH and nutritious diet and vit; muscle pain, swelling and weak, red urine, elevated CPK, AST, LDH; gradual wasting and weakness of skeletal muschesl |
| ETOH effect on body: Wernicke's encephalopathy- this is the most serious form of what in alcoholics; s/s; death occurs when | thiamine def; paralysis of ocular muscles, diplopia, ataxia, somnolence, stupor; with immeidiate thiamine replacement |
| ETOH effect on body: korsakoffs psychosis- this happens after or before wernickes; s/s; occurs when pt is recovering from what | after; confusion, loss of recent memory, confabulation; wernickes |
| ETOH effect on body: wernickes-korsakoff- in us they occur together or separate; what is tx; | together; ive or oral thiamine replacement |
| ETOH intoxication: what is blood levels; death is at what levels | 100-200; 400-700 |
| ETOH withdrawal: occurs within __ hours of cessation; s/s | 4-12; N/V, malaise, tachycardia, sweating, elevated BP, anxiety, depressed mood, hallucinations, HA, insomnia; |
| ETOH withdrawal delirium: occurs on what day following cessation or reduction in prolonged heavy use; is it fatal; | 2-3 day; yes; |
| ETOH withdrawal: tx- what is used; why anticonvulsants; what one is most used; what are mv for; | benzos, anticonvulsants, mv; tx seizures; benzos; thiamine replacement |
| ETOH withdrawal: thiamine replacement is needed to prevent what | neuropathy, confusion and encephalopahy |
| antabuse- used to deter what; avoid what; drinking leads to what; blocks the oxidation of what; s/s with in how many min of ingestion | drinking; drinking; discomfort; ETOH; 5-10; |
| what meddecreases ETOH cravings; | ReVia; |
| ETOH withdrawal: no counseling if client is what | drunk |
| what are the 2 patterns of abuse for sedatives, hypnotics, anxielytics | dr prescribes and substance deeking behavior; |
| sedatives, hypnotics, anxiolytics s/s of withdrawal; hand tremor; | sutonomic hyperactivity, insomnia, n/v, hallucinations, illusions, psychomotor agitation |
| with opioid abuse what happens to pupils | contricts; |
| what are 2 toxic reactions to hallucinogens | panic reaction or flashbacks |
| what is second most commonly abused drug in the us | cannibus |
| cannibus: what is major ingredient; | THC; |
| nursing care: planning begins with what; | detox; |
| codependency: this is dysfunctional behaviors that are event among whom; they are confused about what; they gain a sense of control by fulfilling the needs of whom | members of a family of the chemically dependent person; their own identity; others |
| codependent: |
Created by:
jmkettel
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