#5-Dobrisky-Substance Abuse
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| Physical dependence | show 🗑
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| show | biological need that develops when body adapts to having the drug in the system; a substance specific syndrome
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| show | with continued use, more of the substance is needed to produce the same effect
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| show | A maladaptive pattern of substance use leading to clinically significant impairment or distress
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| Substance dependence | show 🗑
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| show | simultaneous or sequential use of more than one substance
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| show | increasing need for drugs of similar composition
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| Dual diagnosis | show 🗑
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| show | Substances implicated as forerunners topolysubstance use or drug dependence
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| show | age, ethnicity, genetic predisposition; co-morbidities; stress
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| situational risk factors | show 🗑
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| environmental risk factors | show 🗑
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| neurobiologic basis of addiction is | show 🗑
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| dopamine levels change how when drugs are used? | show 🗑
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| glutamate is associated with | show 🗑
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| which cultures and ethnic groups is substance abuse more prevelant? | show 🗑
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| show | the substance being used, the person using it and the setting in which it is used
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| when people are displaced from their original cultures what happens to their risk for abuse? | show 🗑
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| barbiturates, benzodiazepines and alchohol are all | show 🗑
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| hypnotics are | show 🗑
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| all prescription sleeping medications, antianxiety medications, and barbiturates are considered to be | show 🗑
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| what is the major cause of overdose death? | show 🗑
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| show | euphoria
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| dependence & tolerance develop how with barbiturate use? | show 🗑
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| show | barbiturates
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| name six barbiturates | show 🗑
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| the names of barbiturates all end in | show 🗑
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| show | benzodiazepines
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| which is safer: benzo's or barbiturates? | show 🗑
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| show | they can be
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| show | alcohol
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| show | seizures
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| the symptoms of benzos are different from those of barbiturates how? | show 🗑
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| which is longer acting: benzos or barbiturates? | show 🗑
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| which is less harmful in case of overdose? benzos or barbiturates? | show 🗑
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| GHB is an | show 🗑
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| show | alcohol
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| GHB is considered to be a | show 🗑
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| GHB affects are | show 🗑
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| GHB has the same effect as what and builds muscle | show 🗑
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| show | decreasing them
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| What drug is considered to be the forget-me pill? | show 🗑
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| this drug is a benzo, it's illegal in the US and is used as a date rape drug | show 🗑
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| the Rohypnol pill is accelerated by | show 🗑
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| show | without knowing
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| show | tasteless, odorless, dissolves quickly
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| which is the most widely used and most abused substance? | show 🗑
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| show | fetuses, children, adolescents, recovering alcoholics and those with poor health
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| show | genetics
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| alcohol is known chemically as | show 🗑
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| show | altering effects
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| show | proof
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| in the US proof is how much the ethanol concentration? | show 🗑
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| show | ethanol intoxication
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| the concentration of alcohol depends on what? | show 🗑
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| alcohol is absorbed through | show 🗑
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| what varies depending upon the presence of food, the drinker's emotional state and the drinker's body size? | show 🗑
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| does alchohol cross the placenta? | show 🗑
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| show | liver
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| show | 90
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| show | fixed rate
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| the healthy liver can metabolize how much alcohol in an hour | show 🗑
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| show | circulates in the blood
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| show | physical and psychological
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| BAC stands for | show 🗑
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| BAL stands for | show 🗑
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| a BAC of 20 is equivilant to a BAL of | show 🗑
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| show | light and moderate drinkers begin to feel some effect
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| at a BAL of 0.04 most people begin to feel | show 🗑
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| at what BAL is judgment mildly impaired and the ability to make rationale decisions is declined? | show 🗑
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| show | 0.08
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| show | reaction time
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| show | 0.10
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| at 0.15 the BAL there is increased impairment and the alcohol level is equivalent to | show 🗑
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| show | potential cardiovascular and respiratory collapse and loss of consiousness
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| at what BAL is cardiovascular and respiratory collapse a potential complication? | show 🗑
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| at what BAL is there a potential to lose consciousness? | show 🗑
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| show | wernicke-korsakoff syndrome, marchiafava bignami disease, alcoholic blackouts, mood changes, confusion, hallucinations and peripheral neuropathy
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| wernicke-korsakoff syndrome is inflammatory | show 🗑
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| wernicke-korsakoff syndrome effects the brain how | show 🗑
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| show | memory loss and cognitive changes
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| show | thiamine
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| marchiafava bignami disease is | show 🗑
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| alcoholic blackouts cause | show 🗑
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| show | alcohol, cigarretes and marijuana
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| show | chinese, japanese and korean
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| show | never fully returns to pre-drug level
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| barbituates, sleeping aids and anti-anxiety medications are all | show 🗑
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| show | overdose deaths
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| show | red wine
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| show | increased HDL, decreased LDL, decreased diabetic complications and decreased blood sugar levels
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| show | one ounce
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| show | five ounces
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| show | twelve ounces
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| breathing can potentially stop at what blood alcohol level? | show 🗑
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| 80% proof is equal to what % alcohol? | show 🗑
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| show | varies
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| the metabolism rate of alcohol is | show 🗑
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| show | fixed
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| alcohol is metabolized by the | show 🗑
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| the kansas legal limit for alcohol is | show 🗑
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| show | inhibits absorption
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| a decreased level of thiamine may lead to what syndrome? | show 🗑
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| wernicke-korsakoff-->brain... | show 🗑
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| wernicke-korsakoff-->brain inflammation resulting in | show 🗑
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| show | wernicke-korsakoff
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| wernicke-korsakoff | show 🗑
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| show | marchiafava bignami
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| show | big nami
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| show | brain atrophy
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| show | impaired speech and LOC
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| show | impaired speech
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| show | all increased
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| the risk for what complications r/t bleeding increase with etoh abuse | show 🗑
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| alcohol abuse affects Ca & Mag in what way? | show 🗑
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| the cardiovascular systemic effects of alcohol abuse are | show 🗑
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| what effect does alcohol abuse have on the immune system? | show 🗑
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| what happens to WBC when alcohol is abused | show 🗑
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| show | decreased production
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| show | increase in size
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| when RBCs are increased in size what else is changed? | show 🗑
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| the systemic effects on the liver from etoh abuse include | show 🗑
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| accumulation of fats in liver cells leads to | show 🗑
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| chronic hepatic inflammations lead to | show 🗑
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| what develops as a result of impaired liver circulation | show 🗑
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| alcohol abuse damages the GI tract because of | show 🗑
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| show | alcohol abuse
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| alcohol abuse impairs the function of the pancrease to | show 🗑
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| the sleep cycle disturbance caused by etoh abuse is also referred to as | show 🗑
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| show | by reducing parathyroid hormone release
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| show | etoh consumption during pregnancy
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| show | ACTH
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| what elevated liver enzyme indicates alcohol has been consumed recently? | show 🗑
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| show | 2-30
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| GGT...gin gin tequila | show 🗑
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| is a ggt level accurate in the 15-30yo age range? | show 🗑
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| show | anemia
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| what are some lab tests used to determine etoh abuse? | show 🗑
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| show | 12-24 hours from last drink
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| show | alcohol withdrawal syndrome
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| how common is AWS | show 🗑
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| early symptoms of AWS can start within | show 🗑
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| show | 24-48 hours
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| when will AWS symptoms decrease | show 🗑
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| what time frame is a seizure more likely to occur with AWS | show 🗑
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| show | above 100, tachy
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| show | 7-48hrs after last drink
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| show | 24-48hrs after last drink
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| show | 4-5days after last drink
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| show | no
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| early etoh w/drawal symptoms include | show 🗑
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| what type of psychosis do AWS patients experience | show 🗑
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| what is different about the hallucinations in AWS patients? | show 🗑
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| show | DTs (delirium Tremens)
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| which is the most serious form of alcohol withdrawal? | show 🗑
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| show | occurs in less than 10% of those with AWS
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| show | disorientation
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| show | liver failure, pneumonia, and head trauma
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| disorientation is often the first sign of what type of etoh withdrawal? | show 🗑
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| what assessment tools are used to determine if a patient may have an substance abuse problem? | show 🗑
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| CAGE stands for | show 🗑
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| show | 2 answers of yes out of the 4 questions
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| the CAGE assessment refers to what type of abuse? | show 🗑
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| show | a brief drug abuse screening tool
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| what DAST score suggests a significant drug abuse problem? | show 🗑
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| show | alcohol use disorders identification test
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| show | drug and etoh
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| show | withdrawal symptoms, tolerance, work history, legal/social complications
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| show | from etoh, nicotine, mj, and then on to cocaine etc
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| along with assessing for a substance abuse problem what else should be assessed? | show 🗑
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| key assessment items include | show 🗑
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| arcus senilis is | show 🗑
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| show | alcohol abuse
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| how might the hands be affected by alcohol abuse? | show 🗑
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| show | face
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| facial redness is known as | show 🗑
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| show | upper abdominal pain
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| a positive stool _______ may indicate gi bleed | show 🗑
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| show | increased
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| show | cardiac arrhythmia
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| show | drug abuse
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| how are the eyes affected by drug abuse? | show 🗑
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| cardiac arrhythmias, needle tracks, cellulites, conjunctivitis, poor dentition, rapid weight loss and changes in pupil size are indicative of | show 🗑
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| jaundice, arcus senilis, acne rosacea, palmar erthema, upper abdominal pain, cigarett burns on fingers/clothing, decreased sensation in feet hands, positive stool guaiac, HTN & tachycardia and tremor are all indicative of | show 🗑
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| show | benzos
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| show | tapered down
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| show | short-acting: Ativan
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| the pt with severe withdrawal will more than likely be taking which type of benzo? | show 🗑
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| show | short acting benzo
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| show | the w/drawal pt has liver or cognition issues
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| librium is | show 🗑
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| show | when it is severe
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| show | symptoms-triggered dosing
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| show | may over medicate patient
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| what tool is used to assist in symptom triggered dosing? | show 🗑
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| what is the antidote for benzos? | show 🗑
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| what is the antidote for opiates? | show 🗑
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| show | CIWA-R
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| the accuracy of the CIWA-R is decreased when the pt has | show 🗑
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| show | every 1-2 hours
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| show | discontinue the CIWA
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| show | the absent or mild withdrawal
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| show | discontinue medications for withdrawal
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| show | moderate withdrawal
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| a CIWA score of greater than 20 indicates | show 🗑
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| show | withdrawal with delirium
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| show | treated with anti-seizure medication
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| what Vitamins are often needed during withdrawal? | show 🗑
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| show | Thiamine, Folic Acid and Vitamin B12
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| besides thiamine, folic acid and vitamin b12 what is also needed | show 🗑
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| what treatment is used as an alcohol teterrent by interupting the metabolism of ETOH | show 🗑
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| what common ADL items should be avoided when taking antabuse? | show 🗑
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| show | vanilla extract & vinegar
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| show | cough-medicines
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| show | they will become violently ill
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| show | cravings
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| show | Revia
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| high-dose withdrawal of cns depressants substitutes medication | show 🗑
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| low dose withdrawal depends on | show 🗑
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| insomnia, anxiety, elevated temp, pulse and respiratory rate, fine tremors, GI upset, muscle aches, diaphoresis and a labile BP indicate withdrawal from | show 🗑
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| what are the nursing priorities in acute situations of withdrawal? | show 🗑
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| show | observation, meds, emotional & nutritional
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| the drug abuser still needs pain relief, it is best to | show 🗑
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| show | being hungry, angry, lonely or tired
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| show | telling
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| show | changes is up to the patient
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| show | relapse
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| primary prevention is aimed at | show 🗑
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| show | client with mild to moderate problems
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| show | decreasing complications of addiction
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| the most important sign of a healthy recovery is when the patient | show 🗑
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Created by:
Lori Dobrisky
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