Help
Options
Didn't know it?
click below
click below
Knew it?
click below
click below
Don't Know
Remaining cards (0)
Know
retry
shuffle
restart
0:00
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.
Normal Size Small Size show me how
Normal Size Small Size show me how
PMH Exam 3
| Question | Answer |
|---|---|
| substance use disorders | addiction |
| substance induced disorders | intoxication, withdrawal, delirium, and substance induced MH |
| substance misuse | overuse with potentially harmful consequences |
| substance addiction | physical, mental, behavioral reliance (generates distress) |
| diagnostic criteria for all substance use disorder (addiction) | 2 s/s over 12 month, causing impairment or distress - social impair, physical, etc |
| susbtance intoxication vs withdrawal | intox- reversible syndrome of s/s following use, direct CNS effect, judgment impair withdrawal- abrupt stop of substance, specific to sub use |
| risks for addiction | genetics, biochemical, developmental (child trauma), personality factors, cognitive , conditioning (env), and peer pressure |
| alcohol use disorder diagnostic criteria | 2 s/s for 12 months related to tolerance/withdrawal, risky use, social impairment and control |
| Alcohol use disorder patterns (phase I vs II vs III vs IV) | I= prealcoholic (use everyday for stress relief II= early alc phase (blackouts, amnesia) III= crucial phase (lose control, dependence clear IV= chronic (more drunk than sober) |
| effect of alcohol on body (peripheral neuropathy and alcoholic myopathy) | periph neuro- B1 deficiency causing nerve damge, tingle, pain, numb alc myo- b vit def, sudden muscle pain, swelling weakness, red urine, m. enzyme (ACUTE gradual wasting and weakness of skeletal m (chronic) |
| Wernicke's encephalopathy | most serious form of thaimine (Vit B1 def) def ataxia and ocular abnormalities NEED THIAMINE OR DIE |
| Korsakoff's psychosis | confusion, loss of recent memory, confabulation in alcoholics |
| Alcoholic cardiomyopathy | effect of alcohol on heart is an accumulation of lipids in myocardial cells, causing large and weaken |
| other things caused by alcohol | esophagitis, gastritis, leukopenia, thrombocytopenia, sexual dysf |
| pancreatitis | acute= 1/2 days after bing alcohol, SEVERE, constant epigastric pain, abd distention chronic= steatorrhea, malnutrition, weight loss, DM amylase HIGH |
| liver cirrhosis | portal htn, ascites, hepatic encephalopathy, esophageal varices |
| Fetal Alcohol Syndrome | learning, memory, attention, comms. vision, hearing issues tiny eyes, small head, etc, short and underweight NO SAFE AMOUNT OF ALC WHILE PREG |
| alcohol intoxication lvl | 100-200 mcg/dL |
| alcohol withdrawal s/s | 4-12 hrs after no drinks, delirium tremens (2-5 days after, can kill bc seizure, hallucinations) |
| sedative/hypnotic/anxiolytic use | CNS depressants, cross tolerance, abrupt withdrawal can seizure |
| cns stimulants/stimulant use disorder | high abuse potential, behavioral/psychomotor agitation cns intoxication- can induce impaired judgment and euphoria withdrawal= "creash" fatigue, depression, headache, can cause SUICIDE |
| inhalant use disorder | similar to CNS depressant, neuro damage, dyspnea, pneumonia, renal failure |
| opioid use disorder | CNS depress, resp depression, analgesic, euphoria, constipation, constriction of pupil Intoxication= resp depre and death Withdrawal= dysphoria, diarrhea, runny nose, sweat, yawning |
| opioid intoxication | short or long acting to ultra long acting s/s= euphoria, apathy, dysphoria, constricted pupils, agitation, impaired, can cause resp dep and death |
| hallucinogen use disorder | natural v synthetic s/s very unpredictable intoxication possible NO withdrawal |
| cannabis use disorder | most used , tolerance and addiction possible, intoxication= impaired motor function, euphoria, slow rxn, red eyes, increased appetitie, dry mouth, social withdrawal withdrawal= iriritable, nervous, anxiety, insmnia, decreased appetite, fever, depre |
| Assessing Ppl with sub use disorder | examine own attitudes before unconditional positive regard motivational interviewing (explore readiness for change) nonjudgmental/objective speech |
| Assessment tools for substance use | CIWA, COWS, CAGE, MAST, SBIRT |
| most common assessment tool for alc withdrawal | CIWA standing orders for benzos or other treatments based on score |
| CAGE | questionnaire that can be used anywhere Cut down before on drinking? Annoyed by people criticizing your drinking? Guilt about drinking? Eye opening drink in morning? If yes to 2 or more, see provider |
| COWS | opioid withdrawal assessment (higher, more severe) |
| Dual Diagnosis | mental disorder AND sub use disorder at same time need individual treatment plan for each |
| Detox/medically assisted withdrawal | safe and supportive env for decreasing use, meds for withdrawal symptoms |
| Rehab | where, when , and why skills for long term recovery |
| chemically impaired nurse | high absenteeism if source is outside of work, or never miss a day if from work poor concentration, not meet deadline, irritable, isolate, unkempt |
| if impaired nurse reported... | can remove license, or some places allow them to avoid action if they seek treatment Peer Assistance Program= help nurse recognize impairement, obtain treatment |
| Meds for Alcohol Abstinence | Disulfiram= inhibit acetyl dehydrogenase Naltrexone= opioid antagonist (reduce craving) Acamprosate= interact with glutamate and GABA to make "fake alcohol" |
| Meds for Alcohol Withdrawal | Benzo, anticonvulsants, multivitamins, thiamine, symptomatic treatment |
| Opioid Intoxication meds | nalaxone kloxxado |
| Opioid withdrawal meds | methadone, buprenorphine, clonidine, antiemetics, tylenol |
| Meds for Opioid Abstinence | opioid antagonist (naltrexone) full opioid agonist (methadone) partioal agonist (buprenorphine) |
| Barbiturate Withdrawal med | phenobarbital |
| Depressant withdrawal med | Long acting benzos |
| Stimulant intoxication med | minor tranquilizers, haloperidol |
| stimulant withdrawal med | antidepressant, supportive env, suicide assess |
| hallucinogen and cannabinols meds | benzos, antipsych |
| primary prevention for mental health | prevent onset of issues teaching stress management to parents or child development skills to new parents |
| secondary prevention for mental health | minimizing early s/s of psych illness recognize s/s and then treat |
| tertiray prevention for mental health | lessen issues associated with severe/persistent mental illness Ex: (teach schizo pateient how to take care of themselves everyday) promote rehab for max lvl of functioning |
| primary prevention (community) | ID stressful life events that cause crises in the relevant pop. drug ed for middle/high schoolers |
| secondary prevention (community) | already exp mental illness s/s, early prevention/management to prevent progression teen already has disruptive issues, fam cant cope, counseling and parent training, etc coping skills for retirement/depression |
| tertiary prevention (community) | help people with severe/chronic mental illness achieve max functioning of individual life |
| PACT/ACT | Assertive community treatment- 24/7 care to help people with mental health illnesses (partial hospitalization or community-->severe mental health) |
Created by:
andywattana