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Unit VI

Addiction

QuestionAnswer
Occurs when a persons psychological reaction to a drug decreases w/ repeated administration of same dose. Tolerance
Transitory recurrences of perceptual disturbances caused by a persons earlier hallucinogenic drug use. Flash Backs
Drugs; the effect of either or both of the drugs is intensified or prolonged. Synergism
Combining drugs to weaken or inhibit the effect of one of the drugs. Antagonistic effect
An opiate antagonist, is often given to people who have overdosed on an opiate (heroin). Naloxone (Narcan)
Over-responsible behavior-doing for others what other could just as well do for themselves. Codependence
Cessation (reduction) of alcohol use that has been heavy or prolonged; N/V, anxiety, Hallucinations, sweating, Tachy, insomnia, seizures, tremors. Withdrawal
Impaired consciousness (↓awareness of environment); Memory impairment, disorientation, language impairment, hallucinations, illusions. Substance-induced Delirium
Often require longer treatment, experience more crises, and progress more gradually in treatment. Co-occuring disorders
_____ is one of the criteria for diagnosing addiction. Relapse
The early signs of withdrawal develop w/in a ____ hours after cessation or reduction of alcohol (ethanol) intake. Few
Peak effects of alcohol withdrawal? 24-48hrs
Appear hyper alert, jerky movements, & irritability, startle easily, “shaking inside”. Alcohol Withdrawal S/S
Grand mal seizures may appear __ to __ after cessation of alcohol intake (↑risk in hx of seizures). 7 to 48hrs
Users report depression, anergia, & acute onset of agitated depression, Cravings peak during this phase of withdrawal. Crash Phase
Described as a prolonged sense of dysphoria, anhedonia, & lack of motivation, along w/ intense cravings, Relapse most likely here. Second Phase
Characterized by intermittent cravings and can last indefinitely. Third Phase
Colors are heard; sounds are seen? Synesthesia
Users myst drink a large quantity of water during MDMA use to prevent _______ and ________. Dehydration; Hyperthermia
It is safest to propose _____ as a treatment goal for all addicts. Abstinence
In alcoholism which liver enzyme is specifically elevated? AST
The aim of treatment for addiction? Self-Responsibility
Self-help groups that offer support and guidance for adults and teenagers. Al-Anon & Alateen
Best suited for individuals who have a long history of antisocial behavior. Residential Programs
True or False; Medications should not be given until the symptoms of withdrawal are seen? True
An agent use for narcotic addiction- is sometimes used in the Tx for alcoholism, especially for those with high levels of craving & somatic symptoms. Naltrexone (Trexan, Revia)
Works to decrease alcohol cravings by inhibiting the release of mesocorticolimbic dopamine. Topiramate (Topomax)
Is used for motivated patients who have shown the ability to stay sober (Classical Conditioning). Disulfiram (Antabuse)
Is a synthetic opiate that blocks the craving for and affects of heroin (Q daily). Methadone (Dolophine)
Is the only medication currently approved for the Tx of the pregnant opioid addict. Methadone
Alternative to Methadone; effective for up to 3 days (72-96hrs), Q three times per week. Levo-alpha-acetylmethadol (LAAM)
Is a relatively pure antagonist that blocks the euphoric effects of opioids & alcohol. Naltrexone (Trexan, Revia)
Indicated for ↑BP, but is also an effective somatic Tx for some chemically dependent individuals when combined with naltrexone. Clonidine (Catapres)
New _____ skills must be developed to prevent relapse and ensure prolonged sobriety. Coping
Reversible, Vit B1 deficient, problems with thinking. Wernike’s Encephalopathy
Irreversable, cognition, memory, ability to learn new tasks, May never recover, “Wet Brain”. Korsakoff’s Psychosis
Created by: BOjangles1006