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
LSCO--MH Ch 13
LSCO-MH Ch 13
| Question | Answer |
|---|---|
| What is substance abuse? | Over indulgance of a chemical substance resulting in dependance that interferes with life sctivities |
| Substance abuse orders are usually the result of | interpersonal inadequacy |
| The substance abuser believes that the substace will help them | reduce strss or assist with coping skills |
| Does abuse of a substance require addiction? | no |
| stress that are situatioan are | external stressors |
| stressers that are caused by disease or withdrawl of a drug | internal stressors |
| the center for emotional responses controls the involuntary nervous system with organ fx and biorhythms | hypothalmus |
| biologic rythms that the hypothalmus controls | sex drive internal drive ,perception of fear & rage |
| sets the stage for both physical & psychological addiction | cyclic ingestion |
| assesment for substance abuse includes | prior hx for substance abuse, s/s of abuse, s/s of withdrawl, d/c of pt to proper tx facility |
| stimulants are prescribed for | ADHD obesity narcolepsy |
| stimulants increase | mental alertness, sense of well being, capisity to work, notor skills, metablolism |
| how do stimulants increase metabolism | by increaseing respiratory & cardiac fx |
| stimulants include | amphetamines, methamphetamines, cocaine |
| s/e of amphetamine abuse | agression energy, insomnia, mental issues |
| amphetamines counteract | barbituarates |
| medications used for the pt going through with drawl from amphetamines | thorazine, valium |
| methamphetamines produce high levels of | dopamine |
| methamphetamines are neurotoxic to cells that contain | seritonin |
| results of meth use | hyperthermia, convulsions, CVA, brain attacks, cardiovascular collapse than death |
| uses/effects of cocaine | anesthetic, appitite suppresent, stimulant, vasoconstrictor to stop bleeding, gives euphoric feeling |
| cocaine interferes w/reabsorption of | dopamine (if dopamine is depeleted than effects are opposite) |
| depletion of dopamine | basis for cocaine cravings |
| after cole use stops what dopamine agonist is used | Pariodel |
| A coke user with s/s similar to ETOH withdrawl, sweating dialated pupils, psychomotor agitation, increased BP, increased heartrate | low level of coke intoxication |
| high fever agitation, arrhythmia seziuresm, paranoid schizophrenic syndrome w/hallucinations | high level of coke intoxication |
| hallucinations from coke use | coke bugs |
| used when pt is in a psychotic episode from coke | haldol |
| detox from coke depends on | symptoms |
| detox meds for coke use | Valium-anxiety;Phenobarbs-seziures, Tofranil-depression, Inderal - Increased BP & tachycardia |
| Hallucinogens | a chemical that produces mind altering or thrill seeking efects |
| common hallucinogens | PCP Peyote, MDMA, LSD, MJ |
| Peyote | used in Native American religious rituals found in mushrooms |
| Depakote | may potentiate effects of PCP |
| physical symptoms of hallucinaogens | dialted pupils, tachycardia, sweating, palpitations, blurred VA |
| physiologic symptoms of hallucinogens includes | depersonalization paranoid ideations anxiety body image changes intence perceptions |
| person on hallucinogens is at risck for | danger to self & others because of unpredictable behavior |
| valium | used for tx of muscle spasms anxiety seziures |
| haldol | tx of psychotic behaviour |
| CCB | tx to prevent vasospasms & to decrease hallucinations |
| good adjunct for sleep, decreases activity in brain, sedates, releases inhibitions, decreases motor activity can cause resp depression | depressants |
| alcohol Benzos Barbturate | types of depressants |
| alcohol abuse | drinking reguardless of consequences |
| phychological effects of chronic alcohol abuse | depression loss of self respec malnutrition, alination, inefections |
| rate at which 95% of alcohol is metabolized in the liver | 10mil per 90 min |
| legal def of drunk | Blood Alcohol Level > 0.10% |
| a known alcohol abuser with confusion disorintation, and no recolection of anything familiar may be in | (blank) |
| a known alcoholic experinceing confusion, disorientation, no recolection of anything familliar may be in | DT's |
| Pt gogin through alcohol withdrawl should maintain fluid intake of | 3000 ml per day |
| alcohol inhibits the absorption of | vit b12 |
| pt on anabuse should avoid | anything with ETOH in it |
| unconsciousness | passing out |
| anterograed amnesia or loss of short term memory w/retention of remote memories | blacking out |
| damage to hipocampus & surrounding tissue r/t heavy alcohol ingestion | Korsakoff's (w/o tx is irreversable & has severe impairment) |
| neurological disease characterized by ataxiaconfusion & 6th cranial nerve palsy it follows acute episode of alcohol encephalopathy | wernicke's Encephalopathy |
| Wenriche's Encephalopathy responds well to | large doses of parental thiamine in acute early stages |
| FAS physical effects | growth defects, heart defects, malformed facial features, low birth weight |
| mental deficits r/t FAS | mental retardation, learning problems hyperactivity |
| Barbituates, seditives hypnotics(xanax, valium, ativa,, ambian0 | over prescribed for stress & sleep disorders & have high risk for abuse |
| are partialy metabolized in the liver & unmetablolized parts before active metabolites & stored in the fatty tissues | Barbiturates/Seditives |
| Narcotics | made from asian poppy or produced as synthetic drug effects of opium |
| analgesic & euphoric | effects of narcotics |
| opoids | Heroin, morphine, Oxycotin, demerol, codine, methadone |
| symptoms of narcotic overdose | constricted pupils, euphoria, psychomotor retardation slurred speach drowsiness |
| s/s in infant born to mom addicted opoids | tremors, irritable, high pitched cry increased resp fever |
| tx of choice for opoid withdrawl | methadone-blocks cravings |
| psychoadictive stimulant | nicotime |
| nicotine causes | vasoconstricton & increases peripheral resistance |
| anabolic steroids (muscle building) & androgenic (increase masculinity) steroids | are ilegal |
| extra hair on woman, agression | s/e of steroids |
| complicates dx & treatment of substance abuse because of synergistic paradoxial additive & potentiating effects | polydrug use |
| substance induced disorders | intoxication withdrawl cognitive d/o mood d/o etc |
| maladaptive pattern of substance use with clinical significant impairment is distress | substance dependance |
| needing larger amount than what is intended can reduce or regulate substance devotin great deal of time to obtain substance | tolerance |
| substance abuse | characterized by pattern of repeted use of substance that is maladaptive in that significant adverce consequences occur such as faliure to fullfill major role obligations |
| substance intoxication | reversable syndrome of maladaptive physiologiv & behavior that are due to the effects of a substance on a persons CNS |
| theory that tries to determine a genetic predisposition to alcoholism uses pharmocologic management instead of psychosocial | biogenetic biophysical |
| substance abuser is viewed as regressed & fixated at pregenital oral level of psych developmetn | psychological theory |
| abuser describes learning to drink by watching a family membe thinks it may remedy pain | social cultural theroy |
| person who alternately recues & blames the addict | codependant |
| enablers | takes the roles of protector controller & blamer but isnt effective in alltering the diease |
| 1 parent is the addict 1 parent is the codependant /enabler, kid is the defensive personality | disfunctional family roles |
| alcoholics are at high risk for suicide assess for | selfdestrucitve behavior & events that represent loss |
| HC worker primary risk factor for _____ b/c of work place stress & easy access | codependance |
| tx for alcoholic | diet rest gradual involvement in tx program |
| accurate subjective assessment on subsance abuser | CAGE, mental status exam, psych hx and be non judgemental |
| common defense mechanism used by substance abuser | denial & projection |
| to obtain accurate drug hx | be up on street lingo |
| cue of drug use | behavior change |
| nsg dx r/t alcohol abuse | ineffective coping sleeping disturbace alt nutrition |
| outcome ID for substance abuser | coping decision making impulse control effective individual coping |
| to prevent relapse focus on | high risk situations |
| pt has to hit rock bottom before admitting problem | confrontation |
| used to break down substance abusers denial | group interventions |
| substance abuser evaluation | pt ability ti change check areas for improvement has tx made an impact how much substance is pt using how emotional mature are they |
| nurse fx in out pt tx center | counsler/therapist must have psych skills |
| home care treatment helps the abuser | develop social & drug refusal skills |
Created by:
Sniderse
Popular Nursing sets