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substance abuse
on141 final book burke page 1223
| Question | Answer |
|---|---|
| types | ETOH and drugs |
| causes: biological; socioeconomic; behavioral; intrapersonal | genetics def. in dopamine; poverty, crime, culture, stereotypes; learned by others and coping ; intate to certain traits |
| what are the personality traits of alcoholics | controlling, self centered, seeks attention, can not delay own gratification |
| def of substance abuse ; what does it effect | recurrent use despite knowledge of hazards ; physical, social, occupational, psychological |
| def of substance dependence | more than intended, preoccupied, use interferes with life, increased tolerence, withdrawal s/s |
| complications of alcholism: neuro | wernicks enceph, |
| complications of alcholism: hemo | anemia and bleeding |
| complications of alcholism: ms | liver flap (when arms go above shoulders it looks liek they are trying to fly) |
| complications of alcholism: GI | liver failure, pancreas, ascites, |
| complications of alcholism: Cv and pulmonary | fluid overload |
| alcoholism: early withdrawal s/s | 6-12 hrs after last drink, anxiety, agitation, irritable, increased BP and PR, sweating, NV, diarrhea, tremors |
| alcoholism: major withdrawal s/s | seizures and hallucinations, delteriium tremors, extreme rises of VS in early morning, within 3 days of last drink, disorianted, confused, visual disturbances, |
| alcholoism: what are the visual disturbances | animals |
| quitting- should they go cold turkey | never; detox in a controlled environment |
| meds: antabuse(disufiram)- what does it do | makes pt ill if they ingest ETOH, when ETOH is consumed it is metabolized by body into acetaldehyde (causing hangovers) and it is then oxidzed into acetic acid(no harm); this med does not allow the oxidization |
| meds: antabuse(disufiram)- effects if ETOH is ingested | flushin , N, copious vomiting, sweating, thrist, throbbing Ha, respiratory difficulties, chest pain, palpitations, dyspnea, tachycardia, hypotension, vertigo, confusion, blurred vision |
| meds: antabuse(disufiram)- what does it not do | only a physical deterrent from not drinking, does not reduce persons cravings or treat ETOH withdrawal s/s |
| meds: antabuse(disufiram)- administrations | in a daily pill, ppl can stop takin durg and drink a few days later, |
| meds: antabuse(disufiram)- things to avoid | ETOH in foods, meds and topicals, sauces and candies, chocolate, dressings, cough syrups, alcohol wipes, |
| meds: antabuse(disufiram)- what can conteract it and make it ineffective | massive amounts of vit C |
| meds: naltrexone (revia)- action | blocks brain chemicals that makes addicts feel good after drinking or taking drugs and reduces urge to drink |
| meds: acamprosate (Camprel)- action | pt can remain sober by drug easing withdrawal s/s and reversing neurochemical imbalances, aids with cravings |
| meds: naltrexone (revia)- what is the long actiing kind that is IM injection | vivitrol |
| meth: what do they look like and why | scratches everywhere, methmites cause them to scratch b/c of vasoconstriction of skin drying of oil glands |
| meht: the sctraching increases risk for what | infection |
| methadone: used to treat what | heroin and severe narcotic addiction and pain |
| methadone: what is it | a synthetic opiod |
| met |
Created by:
jmkettel
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