Shared Flashcard Set

Details

Neurology
Alcohol/Substance Abuse
19
Medical
Graduate
02/18/2010

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Cards

Term
Drugs of abuse all activate the reward system of the brain via increasing _______ transmission.
Definition
Dopamine
Term
Name 5 health consequences of cocaine abuse.
Definition
Cardiac arrhythmia, MI, seizurs, cerebral hemorrhage, and nasal septal perforation
Term
How does long-term heavy drinking effect mortality rates?
Definition
50% higher mortality rates
Term
A state in which an organism functions normally only in the presence of a drug manifested as a physical disturbance .when the drug is removed (withdrawal)
Definition
Dependence
Term
A state in which an organism no longer responds to a drug and needs a higher dose in order to achieve the same effect.
Definition
Tolerance
Term
A state in which an organism engages in a compulsive behavior which is pleasureable or rewarding and has loss of control in limiting intake.
Definition
Addiction
Term
What are the 2 screening questions that USPSTF reccommends to detect problem drinking?
Definition
CAGE (Cut down, Annoyed, Guilty, Eye-opener)and TWEAK (Tolerance, Worried, Eye-opener, Amnesia, Cut down)
Term
What is the difference between precomtemplators and contemplators?
Definition
Pre - doesn't see the problem and not talking about it. Con - recognize the problem and taking action
Term
What are some physical s/sx of alcohol/substance withdrawal?
Definition
Nausea, tremor, sweating, anxiety, agitation, hallucination, disorientation, delirium, seizures, pulse & BP
Term
Name 3 meds used for tx of alcohol withdrawl.
Definition
1) Benzos 2)Clonidine & BB 3)Thiamine
Term
What med is used for sedative/hypnotic substance withdrawal?
Definition
Long-acting benzo
Term
What are meds used to tx narcotic withdrawal?
Definition
Oral methadone and clonidine
Term
What med and tx is used to tx alcohol dependence?
Definition
Disulfiram (Antabuse) + supportive therapy (AA) & counseling
Term
What med. is used to tx alcohol abuse and help reduce relapse?
Definition
Naltrexone (Revia)
Term
What med, is used to tx substance abuse (detox)?
Definition
Oral methadone
Term
A minimum of how long is required for methadone maintenance?
Definition
12 mths
Term
What is the first stage of addiction treatment?
Definition
Medical detoxification
Term
What recovery program involves admitting that one can't control one's addiction, recognizing a greater power to give strength, uses sponsor to help examine past errors?
Definition
12-step program
Term
What does the acronym SMART stand for? How many points does it include?
Definition
Self Management And Recovery Training. 4 points.
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