| Term 
 
        | Cost-Effectiveness of Drug Tx |  | Definition 
 
        | $4-7 saved in crime related costs |  | 
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        | Term 
 | Definition 
 
        | genetic and environmental issues |  | 
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        | Term 
 | Definition 
 
        | does not need to be voluntary |  | 
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        | Term 
 | Definition 
 
        | Someone who has both and alcohol/drug problem and an emotional/psychiatric problem. Need to treat both problems.
 |  | 
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        | Term 
 | Definition 
 
        | Affects 8.3% over the age of 12, does not include nicotine |  | 
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        | Term 
 
        | What is a difference between drug abuse and dependence |  | Definition 
 
        | Abuse-is a preventable behavior Dependence-is a treatable disease
 |  | 
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        | Term 
 
        | Drug dependence peaks when? |  | Definition 
 
        | Between the ages of 18 and 25 |  | 
        |  | 
        
        | Term 
 
        | Drugs of abuse affect what? |  | Definition 
 
        | The reward system by increasing the concentration of dopamine(ex: ecstasy) |  | 
        |  | 
        
        | Term 
 
        | What is the CVS effect of cocaine? |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | How does cocaine effect the brains use of glucose? |  | Definition 
 
        | Reduces the neurons ability to use glucose and disrupts brain function. |  | 
        |  | 
        
        | Term 
 
        | What is used in the treatment of cocaine overdose? |  | Definition 
 
        | Lorazepam for agitation and haldol for psychotic behavior. |  | 
        |  | 
        
        | Term 
 
        | What has cocaine been replaced by?  And why? |  | Definition 
 
        | Methamphetamine; stronger, cheaper, and lasts longer-12h |  | 
        |  | 
        
        | Term 
 
        | Addictive drugs can cause what after long-term use? |  | Definition 
 
        | Physical, psychological and structural changes |  | 
        |  | 
        
        | Term 
 
        | What specific changes occur in the brain with long-term drug addiction? |  | Definition 
 
        | The pleasure/reward system(in the ventral tegmental area projecting to nucleus accumbens)has reduced pleasure experience. |  | 
        |  | 
        
        | Term 
 
        | What neurotransmitter is related to the pleasure/reward system? |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | What is the mechanism of action of marijuana? |  | Definition 
 
        | Increased release of dopamine |  | 
        |  | 
        
        | Term 
 
        | What are some of the effects caused by marijuana use? |  | Definition 
 
        | -Loss of motor coordination(up to 24 hours) -Impaired short-term memory
 -Delayed reaction time
 -Increased risk for accidents
 -Dry mouth
 |  | 
        |  | 
        
        | Term 
 
        | How does marijuana compare to cigarettes? |  | Definition 
 
        | Marijuana contains 5X more tar and CO than cigarettes. |  | 
        |  | 
        
        | Term 
 
        | What is the most abused drug used at work? |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | What is the mechanism of axn of methamphetamine? |  | Definition 
 
        | Releases high levels of dopamine. |  | 
        |  | 
        
        | Term 
 
        | What are the effects of methamphetamine? |  | Definition 
 
        | -More central effect -Short-term:
 --decreased appetite
 --8-24hr
 -Long-term:
 --potential brain damage
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Dental caries on buccal smooth surface of post. teeth and interproximal ant. teeth Due to acidic nature of the drug.
 |  | 
        |  | 
        
        | Term 
 
        | What are the withdrawl symptoms of methapmhetamine? |  | Definition 
 
        | -Aggression -depression
 -anxiety
 -fatigue
 -intense craving
 -paranoia
 |  | 
        |  | 
        
        | Term 
 
        | What are the indications for methamphetamine? |  | Definition 
 
        | -ADHD -exogenous obesity
 -narcolepsy
 |  | 
        |  | 
        
        | Term 
 
        | Is there a better alternative to methamphetamine? |  | Definition 
 
        | Yes, Strattera a non-stimulant |  | 
        |  | 
        
        | Term 
 
        | What properties does ecstasy have? |  | Definition 
 
        | A stimulant and a hallucinogenic |  | 
        |  | 
        
        | Term 
 
        | What is the mechanism of axn of ecstasy? |  | Definition 
 
        | Binds to transporters and prevents serotonin from binding.  Has the same effect on dopamine neurons. |  | 
        |  | 
        
        | Term 
 
        | What are the PCOL effects for ecstasy? |  | Definition 
 
        | euphoria, increased desire for physical contact |  | 
        |  | 
        
        | Term 
 
        | What causes life-threatening adverse effects with ecstasy? |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | How do you treat for stimulant use/abuse? |  | Definition 
 
        | -ABC's -acute
 --Ativan-excitement or panic
 --risperdal-psychosis
 --Matrix model
 |  | 
        |  | 
        
        | Term 
 
        | How much alcohol is a safe level for teens? Pregnant women? People with a history of addiction? |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | How does a person develop alcoholism? |  | Definition 
 
        | By genetic and/or environmental factors |  | 
        |  | 
        
        | Term 
 
        | What is the mechanism of axn of alcohol? |  | Definition 
 
        | enhances GABA leading to CNS depression and excites DA neurons in the vetral tegmental area. |  | 
        |  | 
        
        | Term 
 
        | Where is ethanol metabolized? |  | Definition 
 
        | 90% in liver, 10% unchanged in urine. |  | 
        |  | 
        
        | Term 
 
        | Overdose of alcohol causes what? |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | What organs does alcohol effect? |  | Definition 
 
        | Liver, kidney, and sexual function |  | 
        |  | 
        
        | Term 
 
        | Alcohol increases the risk of what type of cancers? |  | Definition 
 
        | Mouth, oropharynx, esophagus, liver, and breast. |  | 
        |  | 
        
        | Term 
 
        | What happens with stage 3 alcohol dependence? |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | What are some of the medications used to treat alcohol dependence? |  | Definition 
 
        | Disulfram, Naltrexone, and acamprosate |  | 
        |  | 
        
        | Term 
 
        | What is ethyl glucoronide? |  | Definition 
 
        | Metabolite of ethanol.  2ml of urine needed to detect in assay.  detectable up to 2 days. |  | 
        |  | 
        
        | Term 
 
        | What kind of effect do inhalants have? |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | What are some consequences of inhalants? |  | Definition 
 
        | SSDS due to cardiac arrhythmia. |  | 
        |  | 
        
        | Term 
 
        | What are some risk factors for inhalant abuse? |  | Definition 
 
        | chaotic home environment and poor social coping skills. |  | 
        |  | 
        
        | Term 
 
        | What is the #1 adult health problem? |  | Definition 
 | 
        |  |