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67 Cards in this Set

  • Front
  • Back

Development of tolerance to a substance following prolonged medical use but without psychologic or physical dependence

Habituation

A drug that stimulates the CNS

Amphetamine

Urinary incontinence

Enuresis

A syndrome of amnesia with confabulation associated with chronic alcohol abuse

Korsakoff's psychosis

Urination, the desire to urinate, or the frequency of urination

Micturition

Drug properties that affect mood, behavior, cognitive processes, and mental status

Psychoactive properties

Pills that are classified as benzodiazapines




chemically known as flunitrazepam

roofies

A neurolagical disorder characterized by apathy, drowsiness, ataxia, nystagmus,




caused by thiamine (vitamin B) deficiency, secondary to chronic alcohol abuse

Wernicke's encephalopathy

Adverse effects of opioids can be broken down into two groups:

CNS




and




non-CNS

Peak period of opioid withdrawal:

1 to 3 days

Duration of opioid withdrawal:

5-7 days

Medications for treatment of opioid withdrawal:

Clonidine (catapres)




Methadone

_________ is a chemical class of amphetamine, but it has a much stronger affect on the CNS than the other two classes of amphetamine

Methamphetamine

Chemically three classes of amphetamine exist:

salts of racemic amphetamine




dextroamphetamine




methamphetamine

Stimulants work by releasing Biogenic amine _________ from its storage sites in the nerve terminal

noroepinephrine

Drugs that relieve anxiety, irritability, and tension when used as intended

Depressants

Two main pharmacological classes of depressant are:

Benzodiazepines and barbituates

Date rape drugs:

GHB




Flunitrazeoam

Amino acid in the brain that inhibits nerve transmission in the CNS

GABA

Benzos are primarily used for:

Treat anxiety


induce sleep


sedate


prevent seizures

Barbituates are primarily used for:

sedatives


anticonvulsants


prevent seizures

Benzo reversal agent

Flumazenil

type of alcohol used on the skin

isopropyl

Peak period for depressant withdrawal:




Short acting drugs:


Long acting drugs:

2-4


4-7

Duration of depressant withdrawal:




Short acting drugs:


Long acting drugs:

4-7


7-12

One pharmalocologic option for the treatment of alcoholism is ________. This works by altering the metabolism of alcohol.

disulfiram (Antabuse)

Nicotine works by directly stimulating the _______ ______ of the nicotine reseptors

autonomic ganglia

Nicotine receptors are found in several systems including:

The adrenal glands


Skeletal muscles


CNS

The most dangerous substances in terms of withdrawal are the CNS _______

depressants

Clientswho are at higher risk to have ________ interactions with OTC or other prescirptions

drug drug

Always listing every ingredient. If this changes, medication can go from prescription to OTC

Regulatory standard

How OTC become OTC:




Low potential for _______


_______ index review


Limited _______ risk

abuse


Therapeutic


interaction

Herbal supplements are not regulated by the ____

FDA

CAT:

Complimentary alternative therapies

ComplimentaryAlternative Therapies (CATs)



3 categories:




Meditation, yoga

Mind-body

Complimentary Alternative Therapies (CATs)




3 categories:




Chiropractic, acupuncture, massage

Manipulative, body-based

Complimentary Alternative Therapies (CATs)




3 categories:




Reiki, touch

Energy-based

CAT's also refers to mixing _______ and ________ methods together,




example:

eastern


western




"go to chemo and massage class as well"

}Narcotics


}Analgesia


}ScheduleI, II, III




are all what?

Opiods

Home safety of medication?

wherethey keep the meds- (lollipops withmedication in it)

Opioid action?

Bindsto pain receptors in the CNS

Opioid uses?

Analgesia

Opioid adverse effects examples?

Respiratory, B/P, GI system

Biggest side affect of Opioid?

Respiratorydepression can lead to respiratory arrest…..which means check vital signs prior to vital signs,and then keep checking signs

People with respiratory disease should not be given opioids because why?

Higher risk for constipation

Signs and symptoms of addiction examples:

◦Anorexia, wt. loss◦N & V, H/A◦Constricted pupils◦Confusion, forgetfulness, mood swings◦Sound hypersensitivity◦Rhinitis◦Isolation – family, social, work, school

Rhinitis:

runny nose

Clinical symptoms of withdrawal examples:

hypertension, tachycardia, diaphoresis,pupillary dilation, agitation, GI symptoms

Advantage to methadone for detox:

receive relief from withdrawal symptoms, but not the euphoria associated with the high




Regimen is simple, typically take once a day

_______ have higher risk for abuse

stimulants

Stimulants release _________, increases ________ stimulation, blood pressure and heart rate go up ----smooth _______ is relaxed (dilates andconstricts at the same time)

noroepinephrine


cardiovasular


muscle



Stimulant uses examples:

ADD (adderall), narcolepsy, depression

Stimulant adverse affects:

dehydration, anxiety, chest pain, hypertension, palpitations

Hyperrflexia:

reflexes heightened

Addiction to stimulants main examples:

profound weight loss


Irritability- sexual or violent acting out

Stimulantpsychosis




◦Hallucinations◦Delusions◦May exhibit schizophrenic-like behavior




What kind of addiction?

High level stimulant addiction

No magic button for stimulant withdrawal, no narcan, so treat with what?

Manage


keep safe


treat depression

High level withdrawal from stimulants:

CRASHING




◦Depression…Anxiety…Agitation…IntenseCraving◦Fatigue◦Decreased energy

CNS depressants:

Benzodiazepine




Barbituate

Manifestations of someone abusing depressants:

Sleep


sedation


seizures


respiratory depression


slurred speech



Depressant withdrawal: Medically ______,




physical symptoms include:

supervised





Depressant overdose treatment:

Flumazenil (romazicon) IVP

Alcohol (ETOH)




Major issue with high level alcoholic is missing vitamin _____ and causes _____ ______.

B12




Brain damage



Adverse affects of alcoholism:

vitamindeficiency, seizures, hyperglycemia,


respiratory depression, FAS, liverdisease/cirrhosis

AEffects of alcohol:

vasodilation,decreased body temperature

Treatment for alcoholism:

nutritionalintervention, benzodiazepines, antiseizure meds

Alcohol withdrawal symptoms on severe level withdrawal:

◦Delirium Tremens (DTs)◦Hypertensive crisis◦Tachycardia◦Hyperthermia◦Extreme agitation