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Addictions
Mental Health Nursing powerpoint 2.5
24
Nursing
Undergraduate 2
06/23/2013

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Term
Tolerance
Definition
when a person's physiological reaction to a drug decreases with repeated administrations of the same dose
Term
Withdrawal
Definition
causes physiological changes to occur when blood and tissue concentrations of s drug decrease in individuals who have maintained heavy and prolonged use of a substance
Term
Flashbacks
Definition
transitory recurrences of perceptual disturbance caused by a person's earlier hallucinogenic drug use when he/she is in a drug-free state
Term
Naloxone (Narcan)
Definition
an opiate antagonist
given to people who have overdosed on an opiate (usually heroin) to reverse respiratory and CNS depression
Term
Substance Abuse
Definition
Maladaptive pattern of substance use leading to clinically significant impairment or distress, manifested by one or more of the following during a 12-month period:
1.) Impaired role performance
2.) Risk-taking behavior
3.) Recurrent legal/social problems
4.) Continued use despite problems
Term
Substance Dependence
Definition
Maladaptive pattern of substance use leading to clinically significant impairment or distress, manifested by three or more of the following within a 12-month period:
1.) tolerance
2.) withdrawal
3.) Substance taken more of/longer than intended
4.) Increased time preoccupied with substance
5.) Difficulties cutting down/controlling use
6.) Reduction/absence of important activities
7.) Use despite knowledge of recurrent problems caused by substance
Term
Detoxification
Definition
safely and effectively withdrawing a person from an addictive substance
Term
Relapse
Definition
the recurrence of alcohol- or drug-dependent behavior
Term
HIghest rate of alcohol abuse in which populations?
Definition
men, young people, whites, native americans, people with low income, and those who are unmarried
Term
Co-occuring disorders
Definition
-Major Depression --> Cocaine
-GAD --> Alcoholism
-Schizophrenia --> Alcoholism, polydrug addiction
-Borderline personality disorder -- episodic polydrug use
Term
Addiction
Definition
1. Loss of control of substance consumption
2. substance use despite association problems
3. tendency to relapse
Term
Alcohol affects...
Definition
all major organ systems
CNS depressant
Intoxication level: 0.10%
Term
Cocaine affects...
Definition
malnutrition, MI, stroke
CNS stimulant
Increase in dopamine, serotonin, and norepinephrine
biological responses = :D
Term
IV drug use affects...
Definition
Hep C, HIV, TB
Term
Nicotine affects...
Definition
central, peripheral, autonomic nervous systems
respiratory issues
Term
Drugs used to treat opiate cravings:
Definition
Methadone
Naltrexone
Buprenorphine
Term
Caffeine affects...
Definition
stimulate the cerebral cortex and increases mental acuity
Panic attacks, psychosis
Term
Benzodiazepines affects...
Definition
CNS depression
decrease duration of REM sleep
withdrawal lasts for 8 days
Term
Cage Questionare
Definition
C- Thought of CUTTING DOWN?
A- ANNOYED YOU by criticizing drinking
G- ever felt GUILTY?
E- Drink when you first open your EYES?
Term
Vital Signs during withdrawal:
Definition
increased RR, HR, and BP
Term
Acute withdrawal is when...
Definition
emerges in several hours after the last drink
peaks at 24-48 hours -->V/S changes, restlessness picking at clothes
Term
Pharmacological treatment of alcohol withdrawal
Definition
Benzodiazepines --> prevent delirium tremens
Long-acting CNS depressants --> produce sedation
Antipsychotic medications -->psychotic
Term
Pharmacological treatment of alcohol dependence
Definition
Disulfiram -->adversion therapy
Naltrexone -->reduce cravings
Adequate nutrition and supplemental vitamines
Term
FRAME intervention
Definition
Feedback of personal risk
Responsibility (personal control)
Advice to change
Menu of ways to reduce
Empathetic
Self-efficacy (optimism)
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