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MICA Overview
Pharmacotherapy Exam 4
30
Pharmacology
Professional
04/23/2013

Additional Pharmacology Flashcards

 


 

Cards

Term
factors effecting CNS and its balance
Definition
heredity, environment and use of psychoactive drugs
Term
percentage of schizophrenics that have substance abuse
Definition
47
Term
percent of drug abusers and alcoholics respectively that also have at least one concurrent mental illness
Definition
53 and 37
Term
percent of cocaine abusers has a diagnosable mental disorder
Definition
76
Term
percent of marijuana abusers that have a mental disorder
Definition
50
Term
prevalence of mental disorder and addictive disorder in the prison population
Definition
81
Term
physical dependance
Definition
chronic use of a drug that results in a physiologic adaptation and its discontinuation that results in a withdrawal syndrome
Term
tolerance
Definition
progressive decrease in the effectiveness of a drug through a physiological adaptation of the body
Term
defining the MICA patient (mentally ill and chemically affected)
Definition
a person having both substance abuse/ dependence problem and a diagnosable, significant, psychiatric problem
Term
psychiatric disorders most commonly seen in combo with drug abuse
Definition
major depression, schizophrenia and bipolar disorder
Term
drug abuse
Definition
Use of a mood-altering substance to the level of intoxication in an intermittent or repetitive way
Term
drug addiction or dependence
Definition
Is the continued or compulsive use of a psychoactive substance despite adverse consequences and constitutes the focus of the user’s life
Term
anxiety disorders
Definition
panic disorder with/without agoraphobia, OCD, PTSD, generalized anxiety disorder, phobias
Term
common drugs of abuse
Definition
Alcohol, Steroids, Nicotine products, Marijuana, Stimulants (caffeine, cocaine, amphetamine products), Opiates, Hallucinogens (LSD, PCP, Ecstasy, ketamine), Spice, Bath Salts
Term
types of MICA; person using psychoactive drugs
Definition
there might be a psychiatric problem that has not yet fully developed
Term
types of MICA; person using psychoactive drugs and the drug itself or withdrawal
Definition
causes a temporary psychosis or an apparent mental illness
Term
types of MICA; person who has no pre-existing problem
Definition
but develops a psychiatric problem as a result of many years of abuse (altered brain chemestry
Term
dual diagnosis
Definition
patient must be treated for both disorders simultaneously
Term
problems of treating dual diagnosed patient
Definition
starting treatment, impaired cognition, developmental arrest
Term
detox: impatient treatment for 30 to 180 days
Definition
stabilize target symptoms with medications, monitor for other symptoms which might emerge, allow brain biochemistry to stabilize and ensure proper nutrition
Term
detox: history is critical
Definition
sequence development of symptoms and disorder and emergence of symptoms during detox
Term
benefit/ risk ratio for detox
Definition
Will failure to treat (medicate) symptom (s) underlying pathology lead to relapse and Will treating a particular symptom with a specific medication lead to relapse
Term
biochemical balancing
Definition
each patient has own unique neurochemistry, must teach to understand optimum feeling with medication
Term
compliance issues
Definition
understanding necessity for compliance. depot injections may be an option, discuss options for pill boxes, self recording etc.
Term
self-recording
Definition
must track meds and how they are feeling; good for targeting symptoms, stressors and side effects
Term
treatment options (best results for all treatment options to be utilized)
Definition
pharmacotherapy, group therapy, AA and other supportive groups, and psychotherapy
Term
treating a 3 legged stool
Definition
mental illness, substance abuse/ dependence issue, axis II diagnosis (personality disorders)
Term
personality disorders
Definition
antisocial, borderline, histrionic, narcissistic, dependent
Term
69% of cocaine seized by DEA
Definition
DEA found to be laces with levamisole (veterinary antiparasitic agent)
Term
levamisole
Definition
used to lace cocaine; Metabolized to aminorex (mimics serotonin); Thought to enhance effects of CNS and prolong cocaine euphoria; has many toxic side effects
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