Term
|
Definition
| major component in many paints, laquers, glues, inks, cleaning liquids, metal degreasing, enamels, and dry cleaning |
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Term
|
Definition
|
|
Term
| What are the effects of inhaling butane, propane, or Freon? |
|
Definition
| abnormal heart rhythms and the possibility of sudden death |
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Term
| Family Rules for addressing addiction? |
|
Definition
serve to provide order, stability, consistency, and predictability. Restrict behavioral options.
-
Communication- to what extent, when, and how may family members communicate what they think and feel
-
Who can speak to whom in what fashion and about what?
-
Conventionalism- is one allowed to be different?
-
Values and spirituality
-
MORE_____
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|
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Term
|
Definition
- The addict's drug use is the most imporant thing in the family's life.
- The addict is not responsible for his or her behavior,and the drug isnot the cause of the family's problems.
- Status quo must be maintained at all times.
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|
|
Term
| What are the common culprits in inhalant addiction? |
|
Definition
| Industrial substances such as toulene, trichloroethylene, gasoline, butane, propane, and Freon |
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Term
|
Definition
| Do we seek mates based on nuclear family dysfunction? We may look for people with weaknesses that accomodate our weaknesses. |
|
|
Term
| What is the effect of inhaling solvents? |
|
Definition
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|
Term
| What are nitrites and what effect do they have for inhalers? |
|
Definition
- Nitroglycerin-based
- resultes in decreased BP, increased heart rate, sensations of warmth, euphoria, flushing, headache, enhanced orgasm
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Term
|
Definition
- secure attachment
- insecure attachment
- anxious/ambivalent
- disorganized
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Term
| What are the six different ways that drugs can work on on neurotransmitters? |
|
Definition
1. Increasing the synthesis 2. Causing vesicles to leak 3. increasing release 4. decreasing reuptake 5. blocking the breakdown into inactive chemical 6. directly stimulating or blocking postsynaptic receptors |
|
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Term
|
Definition
| The degree to which a drug perfers to bind to a particular receptor |
|
|
Term
|
Definition
| The tendency of a drug to activate the receptor |
|
|
Term
| How do Koob and LeMoal (2001) conceptualize addiction? |
|
Definition
| As a cycle of spiraling dysregulation of brain reward systems that progressively increases, resulting in the compulsive use and loss of control of drug taking. |
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Term
| What drug has the largest medical and financial impact in the US? |
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Definition
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|
Term
| What is the most chemically addictive substance? |
|
Definition
|
|
Term
| What types of drugs have shown the most increase over the past 5-10 years? |
|
Definition
|
|
Term
| What part of the brain is responsible for classical conditioning? |
|
Definition
|
|
Term
| What is the function of the nucleus accumbens? |
|
Definition
|
|
Term
| What drug will cause the most significant neuro-trauma? |
|
Definition
|
|
Term
|
Definition
1. nicotine 2. alcohol* 3. cannibis* 4. cocaine 5. amphetamine 6. LSD/Ecstasy/MDMA |
|
|
Term
|
Definition
1. alcohol* 2. benzos 3. barbituates 4. cannibis* 5. opiates |
|
|
Term
| List the 3 GABA agonists. |
|
Definition
|
|
Term
|
Definition
alcohol cocaine amphetamine |
|
|
Term
| What are the receptor effects of cocaine> |
|
Definition
| DA, 5HT, and NE agonist-block reuptake |
|
|
Term
| Describe the gender bias of substance abuse. |
|
Definition
| SA is greater for makes but females experience greater physiological consequences in a shorter period of time. |
|
|
Term
| What is the projected cost of non-tobacco substance abuse yearly? |
|
Definition
|
|
Term
|
Definition
| Nature appears to have stronger effect, particularly in males. |
|
|
Term
| Heritability is highest for___ |
|
Definition
| cocaine or heroin addiction |
|
|
Term
| From where does the nucleus accumbens receive direct input? |
|
Definition
| the ventraol tegmental area and the amygdala, hypothalamus, OFC, medial prefrontal cortex |
|
|
Term
| Where is the nucleus accumbens located? |
|
Definition
| Rostral to the preoptic area of the hypothalamus, near septum, between the ventral portions of the caudate nucleus. |
|
|
Term
| What does the nucleus accumbens do? |
|
Definition
mediates between the limbic structures(emotional) and striatum (motor response)
motivation toward objects and activities, avoiding danger, and seeking reward
important for placing value on environmental cues |
|
|
Term
| Describe the Mesolimbic Dopaminergic Pathway (reward circuit) |
|
Definition
| Ventral tegmental area--nucleus accumbens, prefrontal cortex, dorsal striatum |
|
|
Term
| Decribe the Nigrostriatal Pathway |
|
Definition
| substancia nigra--basal ganglia |
|
|
Term
| What is low 5HT associated with? |
|
Definition
| depression and aggression |
|
|
Term
| what is high 5HT associated with? |
|
Definition
| psychotic symptoms and hallucinations |
|
|
Term
| Identify the levels of SA treatment |
|
Definition
Level .5 IMPACT Level I Substance abuse (outpatient) Level II Intensive outpatient Level III Residential Level IV medical management (detox) |
|
|
Term
| Describe the DSM IV criteria for substance dependence |
|
Definition
3 in year
1. tolerance 2. withdrawal 3. consuming more of for longer period of time than intended 4. persistant desire or unsuccessful efforts to cutback 5. increased time spent acquiring substance or recovering from effects 6. giving up social, occupational, or recreational activities 7. continued use despite related physical or psychological problems |
|
|
Term
| What are the specifiers for Substance dependence according to the DSM IV |
|
Definition
with or without physiological dependence
Remission: Early (> 1 month) Sustained (> 1 year) Full (no use) Partial (continued use)
Environmental consideration |
|
|
Term
| Describe DSM IV criteria for substance abuse |
|
Definition
1 in year
1. failing in obligations 2. recurrent use in unsage situations 3. recurrent related legal problems 4. continued use despite social or interpersonal problems
NOT DEPENDENCE |
|
|
Term
| What risk factors should be evaluated when considering substance abuse/dependence? |
|
Definition
Family history Gateway drugs Age of onset Blackouts Antisocial behavior Other Axis I or Axis II |
|
|
Term
| What contexual factors should be evaluated? |
|
Definition
Purpose Causality between use and problems Lifestyle Sabotaging original purpose? |
|
|
Term
| What are common comorbid conditions? |
|
Definition
Mood disorders Anxiety Disorders Personality Disorders ADHD Pain disorders |
|
|
Term
| How much of the variance does genetics account for in alcohol dependence? |
|
Definition
|
|
Term
| The disease model says alcohol dependence is ... |
|
Definition
genetic progressive fatal chronic |
|
|
Term
| Describe the Jellinick's phases of alcohol dependence |
|
Definition
Prodromal- Initial progression Increased tolerance; first blackout Increased sneaking, more blackouts, preoccupation, guilt, hurried ingestion
Crucial -impaired control; alibis, attempts to decrease guilt, aggression, unsuccessful attempts to quit, change in pattern of use, chemical-centered behavior, isolation, self-pity, geographic escape, resentment, family breakdown, medical care, morning use
Chronic_ - physical, emotional, and spiritual bankruptcy -prolonged binges and drug runs, protecting supply, lowering standards, decreased tolerance, withdrawal, compulsive use without euphoria, spiritual needs, rationalizationfails, admissiona and recovery |
|
|
Term
| What is the overall heribililty of alcohol dependence? |
|
Definition
20-26% 30-36% in severe forms |
|
|
Term
| what % if variance does environment account for in quantity, frequency, and density of drinking? |
|
Definition
|
|
Term
| What is the heritability of alcohol dependence among treatment seeking women? |
|
Definition
|
|
Term
| What are potential markers of alcohol dependence? |
|
Definition
aldehyde dehydrogenase (metabolizes alcohol in your system)
P3 event related potentials |
|
|
Term
| What are alcohol and alcohol related conditions and their prevalence rates? |
|
Definition
Personality dx 15% Anxiety dx 11% Mood dx 9% alcohol dependence 4% drug dependence 1% |
|
|
Term
| what has the greatest lifetime comorbidity among cannabis-dependents? |
|
Definition
|
|
Term
| What doubles the odds of experiencing a co-existing mood disorder? |
|
Definition
| licit and illicit substance addiction together |
|
|
Term
| What % of adolescents with substance related disorder meet criteria for other disorders and what are the most common? |
|
Definition
| 60%; Conduct, ODD, Depression |
|
|
Term
| What factors are included in the common factor model? |
|
Definition
genetic vulnerability antisocial PD DA dysfunction (mesolimbic pathway) poverty |
|
|
Term
| What factors are involved in the multiformity model of comorbidity? |
|
Definition
heterogeneous, atypical forms of a disorder
degree of overlap among dxs (random) v more extreme forms of psych or SA disorder (extreme) |
|
|
Term
| what factors are included in the 3 Independent Disorders model of comorbidity? |
|
Definition
| comorbid condition is different than sole psychiatric or substance use DO |
|
|
Term
| What factors are involved in the Causation/Reciprocal causation model of comorbidity? |
|
Definition
| regardless of order of onset, do the separate DOs exacerbate one another? |
|
|
Term
| What are features of dual diagnosis? |
|
Definition
| antisocial features and supersensitivity to stress |
|
|
Term
| What has Clozapine been associated with? |
|
Definition
| reductions in alcohol abuse |
|
|
Term
| What are treatment considerations for dual diagnosis? |
|
Definition
integrated v sequential tx relationship v confrontation harm reduction v abstinence long-term, low intensity tx |
|
|
Term
| What are objectives of SAMSHA? |
|
Definition
ID those with SA ASSESS full spectrum of problems PLAN appropriate interventions INVOLVE family and significant others EVALUATE effectiveness of interventions |
|
|
Term
| What are dimensions related to level of care? |
|
Definition
Intoxication and withdrawal potential Biomedical conditions and complications emotional, behavioral, cognitive conditions and complications Readiness for change Relapse prevention Recovery environment |
|
|
Term
| What contextual factors that SAMSHA evaluates? |
|
Definition
expectations for use internal triggers external triggers immediate reinforcers positive aspects of use negative aspects of use |
|
|
Term
| Describe the CAGE screening criteria. |
|
Definition
need to Cut down? felt Annoyed with criticism of your drinking? felt Guilty about use? need an Eye-opener dose in the AM? |
|
|
Term
| Describe the T-ACE screening criteria for pregnant women. |
|
Definition
Tolerance? Annoyed with criticism? need to Cut down? need an Eye opener? |
|
|
Term
| Describe TWEAK screener for women. |
|
Definition
Tolerance? friends Worried? need an Eye opener dose in the AM? Amnesia? need to Kut down? |
|
|
Term
| What are 3 quantity frequency questions? |
|
Definition
On average, how many DAYS/Wk do you drink alcohol?
How many drinks/day when you drink?
Max # drinks on any occassion in past month |
|
|
Term
| Rapid Alcohol problems screen |
|
Definition
Do you sometimes take a drink in the morning when you first get up? During the past year, has a friend or family member ever told you about things you said or did while you were drinking that you could not remember? During the past year, have you failed to do what was normally expected of you because of drinking? During the past year, have you had a feeling of guilt or remorse after drinking? During the past year, have you lost friends or girlfriends or boyfriends because of drinking? |
|
|
Term
|
Definition
MAST/BMAST- (Brief) Michigan Alcoholism Screening Test: 25 and 10-item versions AUDIT- Alcohol Use Disorders Identification Test: 10-item screen. 3 on consumption; 7 on impact DAST/ DAST 10- Drug Abuse Screening Test. 10 and 20 item versions SASSI- Adolescent Substance Abuse Subtle Screening Inventory. Multiple versions |
|
|
Term
|
Definition
DAST 10 NIDA Modified ASSIST: NIDA Modified Alcohol, Smoking and Substance Use Involvement Screening (Comprehensive) CRAFFT Quiz: Designed for adolescents. 7- item SA screen. |
|
|
Term
| Most common hallucinogens? |
|
Definition
| LSD and mushrooms (psilocybin) |
|
|
Term
| Effects of hallucinagens? |
|
Definition
| Alter consciousness without excessive delirium, sedation, excitation, or cognitive impairment |
|
|
Term
| How are hallucinagens typically adminstered? |
|
Definition
|
|
Term
| Which processes are effected by hallucinagen intoxication? |
|
Definition
Somatic Perceptual Psychic Cognitive Autonomic |
|
|
Term
| Health benefits of moderate ETOH use |
|
Definition
stress reduction protecive factor against coronary artery disease and cancer in men lower risk of cardiovascular disease in women |
|
|
Term
| Women who drink an average of 3-9 drinks of ETOH weekly are at greater risk for ___? When does the risk reach 40% |
|
Definition
| breast cancer; 1-2 drinks daily |
|
|
Term
| Adolescents who abuse alcohol are more vulnerable to dysfunction in what areas of the brain when compared to adults? |
|
Definition
| Frontal lobe and hippicampus |
|
|
Term
| adolescents are more or less sensitive to the sedative effects of alcohol? |
|
Definition
|
|
Term
| individuals who begin drink at what point have higher risk? |
|
Definition
|
|
Term
| What are risk factors that are greater among women who abuse alcohol? |
|
Definition
| breast cancer, hypertension, liver and pancreatic damage, cognitive dysfunction |
|
|
Term
| What is the difference in BAC for women compared to men of similar weight and what are some reasons women obtain higher BAC? |
|
Definition
25-30% higher BAC different lipid distribution less ADH than men, less metabolization birth control pils slow down elimination of etoh |
|
|
Term
| What is the only form on alcohol that can be comsumed without being toxic? |
|
Definition
|
|
Term
| What is the ethanol content of common drinks? |
|
Definition
beer 3-7% wine 8-14% fortified wine 17-22% liquor 40%+ |
|
|
Term
| ____ of etoh ingested is absorved through the stomach; ___ in the instestines. |
|
Definition
|
|
Term
| what is the most powerful influence on absorption? |
|
Definition
| the presence of absence of food in the stomach |
|
|
Term
| As concentration of etoh _____, absorption ______ and BAC _______. |
|
Definition
| increases, increases, increases |
|
|
Term
| How does alcohol distributed thoughout the body impact absorption? |
|
Definition
the more muscle and fat to absorb etoh, the slower the increase in BAC but the longer it remains in the tissues before elimination.
etoh passes freely from mother to fetus and fetus may achieve higher BAC |
|
|
Term
| etoh passes freely from mother to fetus and fetus may achieve higher or lower BAC? |
|
Definition
|
|
Term
| How much of etoh is metabolized prior to excretion? |
|
Definition
|
|
Term
| How much of etoh is eliminated unchanged through the lungs or urine? |
|
Definition
|
|
Term
| Where is most alcohol metabolized? |
|
Definition
|
|
Term
|
Definition
| alcohol dehydrogenase (ADH) breaks it down into acetaldehyde which is broken down into acetate which is excreted. |
|
|
Term
| What happens when acetaldehyde does not repidly metabolize? |
|
Definition
| It becomes toxic and causes acute nausea |
|
|
Term
|
Definition
| It cause acetaldehyde to accumulate with consumption of etoh causing nausea |
|
|
Term
| The rate of etoh metabolize is ______ |
|
Definition
|
|
Term
| 1 oz whiskey is metabolized in _____ |
|
Definition
|
|
Term
| BAC does not rise significantly unless more than _____ drink is consumed per _______ |
|
Definition
|
|
Term
| How does metabolism of etoh effect other drugs? |
|
Definition
| It increases enzymes to metabolize etoh which also metabolize other drugs making them less effective or more toxic |
|
|
Term
|
Definition
| metabolic tolerance to etoh causes tolerance to other drugs |
|
|
Term
| How is a person effected with a BAC of up to .10 (4oz/hr)? |
|
Definition
positve subjective effects may impact judgment, fine motor coordination, reaction time |
|
|
Term
| How is a person effected with a BAC between .10-.30 (48oz/hr)? |
|
Definition
decreased motor coordination and reflexes staggering slurred speech |
|
|
Term
| How is a person effected with a BAC between .30-.40 (192oz/hr)? |
|
Definition
impaired voluntary response stimulation hyper or hypothermia anesthesia |
|
|
Term
| How is a person effected with a BAC between .40-.60 (384oz/hr)? |
|
Definition
impaired sensation, movement, and self-protective reflexes
comatose |
|
|
Term
| How is a person effected with a BAC above .60(1020 oz/hr)? |
|
Definition
decreased breathing and cardiac function death |
|
|
Term
| genetic risk for alcohol dependence is greater for men or women? |
|
Definition
|
|
Term
| males of __% risk of alcohol dependence in their lifetime v __% risk for women. |
|
Definition
|
|
Term
| What is the difference between Type I and Type II alcoholism? |
|
Definition
| Type II is less common, occurs only in men, and is characterized by adolescent onset, aggression, legal problems, and use of other drugs |
|
|
Term
|
Definition
impact of alcohol on brain wherewith only some cell groups are stimulated with low doses but the firing rate decreases with increased consumption.
It may also produce inhibitory neurons that provide a net effect of stimulation at lower doses. |
|
|
Term
| etoh _____ the ______ effect of GABA receptors and ________ the _______ effect of glutamate receptors. |
|
Definition
increases, inhibitory decreases, excitatory |
|
|
Term
| How does suppression of glutamate activity effect the brain? |
|
Definition
| It inhibits NMDA receptors which are important for forming new memories (blackouts) |
|
|
Term
| What % of college students endorse a history of blackouts? |
|
Definition
|
|
Term
| What is one explanation for blackouts? |
|
Definition
| etoh suppresses glutamate activity inhibiting NMDA receptors which are important for forming new memories. |
|
|
Term
| Acute effects of alcohol use and their causes? |
|
Definition
hangovers- etoh effect on blood vessels and fluid
GI upset- toxic by-products of etoh elimination and irritation to stomach
hippocampal neuronla loss among binging adolescent animals |
|
|
Term
| What are chronic alcohol effects? |
|
Definition
| dysfunctions of the brain,liver, and digestive system. Skin, peripheral neuropathy, endrocrine, and hypertension conditions, FAS |
|
|
Term
| What are some medical diagnostics to assess alcohol abuse? |
|
Definition
Liver function tests Mean corpuscular volume blood pressure physical exam (MSE, neuro, liver palpitation) abdominal sonogram |
|
|
Term
| What are regions of the brain that are vulnerable to alcohol abuse? |
|
Definition
frontal lobe- exectutive functioning hippocampus- memory cerebellum- wide based gait mammillary bodies- beneath hypothalamus. lesions consistent with nutritional deficit and Korsakoff's syndrome |
|
|
Term
| What are some neuroimaging correlates with alcohol dependence? |
|
Definition
increased ventricle size white matter disease atrophy in frontal, temporal, parietal lobes and cerebellum
**covaries with age |
|
|
Term
| How many drinks per day are associated with moderate deficits equivalent to alcohol dependent persons? |
|
Definition
|
|
Term
| How long does it take cognitive deficits to resolve? |
|
Definition
|
|
Term
| Cognitive functioning is related more to ___ than ____ history of drinking. |
|
Definition
|
|
Term
| Adolescents are more affected by ____ drinking but older adults with long drinking history have more significant ____ and _____ |
|
Definition
| binge; cognitive deficits and medical complications |
|
|
Term
| What % of long term alcohol abusing men report reduced libido? |
|
Definition
|
|
Term
| What are sexual affects of long term alcohol abuse in men? |
|
Definition
erectile dysfunction decreased sperm count decreased semen production feminization in extreme cases testicular atrophy |
|
|
Term
|
Definition
| used in making rope, cloth, paper |
|
|
Term
|
Definition
| cultivated for psychoactive properties |
|
|
Term
| Where is highest THC content found in plant? |
|
Definition
| in the resinated flower tops or buds; not leaves |
|
|
Term
| How is the marijuana drug formed? |
|
Definition
| at maturation, cannabidiolic acid (CBDA) is converted to cannabidiol (CBD) then to THC and finally cannabinoid |
|
|
Term
| What determines potency of MJ? |
|
Definition
| the extent to which CBD is converted to THC. THe higher the rate of THC to CBD and CBN, the greater the pure drug effect |
|
|
Term
| What happens when MJ plant is harvested beyond peak THC ratio |
|
Definition
| it has a more sedating effect |
|
|
Term
| How has the potency of MJ changed over the last 40 years? |
|
Definition
|
|
Term
| What is Low-grade content MJ? |
|
Definition
| 1-3% THC. mixture of leaves and stems |
|
|
Term
| What is High grade content MJ? |
|
Definition
| female plans. fertilized plants typically have 7-8% THC. Unfertilized plants do not produce seeds and are the most potent (7-20% (hashish) ) |
|
|
Term
| What drug has highest THC content? |
|
Definition
|
|
Term
| More THC is absorbed through ____ smoking than _____ smoking. |
|
Definition
|
|
Term
| THC absorption is slower when THC products are ____ |
|
Definition
|
|
Term
| THC is rapidly absorbed by blood in the ___ |
|
Definition
|
|
Term
| _____ of THC is still present in the blood ___ hours after smoking |
|
Definition
|
|
Term
| ___% of THC and its metabolites may remain in teh body a full ___ after smotking. |
|
Definition
|
|
Term
| Where are cannabinoid receptors concentrated? |
|
Definition
| In the hippocampus and less so in the cerebellum and basal ganglia |
|
|
Term
| How does MJ effect memory? |
|
Definition
| It may suppress activity of hippocampal cells and hinder acquisition of new memories |
|
|
Term
| THC disrupts memory far more in adolescents or adults? |
|
Definition
|
|
Term
| What are subjective effects of THC intoxication? |
|
Definition
relaxation mood elevation sedation stimulation silliness sensory enhancement contemplative silence |
|
|
Term
| What are cognitive effects of THC intoxication? |
|
Definition
diminished memory while drug is still active altered sense of time/altered attention decreased problem solving/mental flexibilty in chronic users paranoid ideation (contextual)
*long-term effects may be age dependent but more dependent on age of onset |
|
|
Term
| What are behavioral effects of THC intoxication? |
|
Definition
hunger decreased aggression amotivation impaired concentration and driving correction
*earlier use = higher risk for psyc sxs later |
|
|
Term
| What are some physiological effects of THC intoxication? |
|
Definition
increased heart rate decreased sperm count, erectile dysfunction, increased prolactin irregular mensus |
|
|
Term
| What are some effects MJ use may have on other parts of the body? |
|
Definition
may decrease immunological functioning chronic bronchitis lung cancer (esp with tobacco use) |
|
|
Term
| Why are MJ smokers at risk for developing lung cancer? |
|
Definition
| they inhale less smoke but higher levels of CO and tar |
|
|
Term
| What % of MJ users develop dependency? |
|
Definition
|
|
Term
| What are acute presentations of inhalant abuse? |
|
Definition
cardiac DO hypoxia/anoxia ataxia encephalopathy neuropathy metabolic DO degenerative DO demyelinating DO nutritional DO |
|
|
Term
| What are chronic problems related to inhalant abuse? |
|
Definition
brain, liver, renal, and adrenal toxicity neuropathies cardiac problems blood DO muscle weakness movement DO embryonic DO respiratory problems |
|
|
Term
| What are common high efficacy opiates? |
|
Definition
Morphine Dilaudid Demerol Fentanyl |
|
|
Term
| When are high efficacy opiates prescribed? |
|
Definition
| surgery of palliative care |
|
|
Term
| What are common medium efficacy opiates? |
|
Definition
Vicodin Oxycontin Percocet Darvocet |
|
|
Term
| What are common low efficacy opiates? |
|
Definition
codeine lomotil (diarrhea) |
|
|
Term
|
Definition
| cite of neurotransmitter action for opiates. affect pain and breathing. CNS and GI tract |
|
|
Term
|
Definition
Mu Delta Kappa (no euphoria) |
|
|
Term
| What are drug effects of ecstasy? |
|
Definition
| enhanced somatosensation, stimulation, interpersonal satisfaction, empathy and decreased aggression |
|
|
Term
| What are risks of ecstasy use? |
|
Definition
risks are secondary to deydration and hyperthermia
cardic complications
seizures
5HT suppression
depression and memory dysfunction |
|
|
Term
| For what are amphetamines prescribed? |
|
Definition
| narcolepsy, ADHD, weight loss, performance enhancement, chronic fatigue, depression |
|
|
Term
| How do amphetamines work in the brain? |
|
Definition
| They stimulate release of NE, DA and 5HT |
|
|
Term
| WHere is cocaine metabolized? |
|
Definition
|
|
Term
| What are some frequently prescribed hypnotics? |
|
Definition
|
|
Term
| What % of US population abuse substances? |
|
Definition
|
|
Term
| What % of ppl are effected bu SA in US? |
|
Definition
|
|
Term
| What % children are exposed to etoh abuse or dependence? |
|
Definition
|
|
Term
| How many 12yo+ dependent in US? |
|
Definition
|
|
Term
| Describe categories of family boundaries. |
|
Definition
diffuse/enmeshed clear rigid disengaged |
|
|
Term
| What are the 8 dynamics of addiction according to Platinga? |
|
Definition
1. Repetitive habit forming behavior 2. negative effects 3. vow to stop 4. attempt to relieve distress with more addictive behavior 5. deterioration of relationships 6. obsession 7. compulsion 8. pulling others into web |
|
|