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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 |
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A drug that stimulates the CNS |
Amphetamine |
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Urinary incontinence |
Enuresis |
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A syndrome of amnesia with confabulation associated with chronic alcohol abuse |
Korsakoff's psychosis |
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Urination, the desire to urinate, or the frequency of urination |
Micturition |
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Drug properties that affect mood, behavior, cognitive processes, and mental status |
Psychoactive properties |
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Pills that are classified as benzodiazapines chemically known as flunitrazepam |
roofies |
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A neurolagical disorder characterized by apathy, drowsiness, ataxia, nystagmus, caused by thiamine (vitamin B) deficiency, secondary to chronic alcohol abuse |
Wernicke's encephalopathy |
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Adverse effects of opioids can be broken down into two groups: |
CNS and non-CNS |
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Peak period of opioid withdrawal: |
1 to 3 days |
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Duration of opioid withdrawal: |
5-7 days |
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Medications for treatment of opioid withdrawal: |
Clonidine (catapres) Methadone |
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_________ is a chemical class of amphetamine, but it has a much stronger affect on the CNS than the other two classes of amphetamine |
Methamphetamine |
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Chemically three classes of amphetamine exist: |
salts of racemic amphetamine dextroamphetamine methamphetamine |
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Stimulants work by releasing Biogenic amine _________ from its storage sites in the nerve terminal |
noroepinephrine |
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Drugs that relieve anxiety, irritability, and tension when used as intended |
Depressants |
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Two main pharmacological classes of depressant are: |
Benzodiazepines and barbituates |
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Date rape drugs: |
GHB Flunitrazeoam |
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Amino acid in the brain that inhibits nerve transmission in the CNS |
GABA |
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Benzos are primarily used for: |
Treat anxiety induce sleep sedate prevent seizures |
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Barbituates are primarily used for: |
sedatives anticonvulsants prevent seizures |
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Benzo reversal agent |
Flumazenil |
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type of alcohol used on the skin |
isopropyl |
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Peak period for depressant withdrawal: Short acting drugs: Long acting drugs: |
2-4 4-7 |
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Duration of depressant withdrawal: Short acting drugs: Long acting drugs: |
4-7 7-12 |
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One pharmalocologic option for the treatment of alcoholism is ________. This works by altering the metabolism of alcohol. |
disulfiram (Antabuse) |
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Nicotine works by directly stimulating the _______ ______ of the nicotine reseptors |
autonomic ganglia |
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Nicotine receptors are found in several systems including: |
The adrenal glands Skeletal muscles CNS |
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The most dangerous substances in terms of withdrawal are the CNS _______ |
depressants |
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Clientswho are at higher risk to have ________ interactions with OTC or other prescirptions |
drug drug |
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Always listing every ingredient. If this changes, medication can go from prescription to OTC |
Regulatory standard |
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How OTC become OTC: Low potential for _______ _______ index review Limited _______ risk |
abuse Therapeutic interaction |
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Herbal supplements are not regulated by the ____ |
FDA |
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CAT: |
Complimentary alternative therapies |
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ComplimentaryAlternative Therapies (CATs)
3 categories: Meditation, yoga |
Mind-body |
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Complimentary Alternative Therapies (CATs) 3 categories: Chiropractic, acupuncture, massage |
Manipulative, body-based |
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Complimentary Alternative Therapies (CATs) 3 categories: Reiki, touch |
Energy-based |
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CAT's also refers to mixing _______ and ________ methods together, example: |
eastern western "go to chemo and massage class as well" |
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}Narcotics }Analgesia }ScheduleI, II, III are all what? |
Opiods |
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Home safety of medication? |
wherethey keep the meds- (lollipops withmedication in it) |
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Opioid action? |
Bindsto pain receptors in the CNS |
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Opioid uses? |
Analgesia |
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Opioid adverse effects examples? |
Respiratory, B/P, GI system |
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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 |
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People with respiratory disease should not be given opioids because why? |
Higher risk for constipation |
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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 |
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Rhinitis: |
runny nose |
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Clinical symptoms of withdrawal examples: |
hypertension, tachycardia, diaphoresis,pupillary dilation, agitation, GI symptoms |
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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 |
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_______ have higher risk for abuse |
stimulants |
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Stimulants release _________, increases ________ stimulation, blood pressure and heart rate go up ----smooth _______ is relaxed (dilates andconstricts at the same time) |
noroepinephrine cardiovasular muscle |
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Stimulant uses examples: |
ADD (adderall), narcolepsy, depression |
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Stimulant adverse affects: |
dehydration, anxiety, chest pain, hypertension, palpitations |
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Hyperrflexia: |
reflexes heightened |
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Addiction to stimulants main examples: |
profound weight loss Irritability- sexual or violent acting out |
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Stimulantpsychosis ◦Hallucinations◦Delusions◦May exhibit schizophrenic-like behavior What kind of addiction? |
High level stimulant addiction |
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No magic button for stimulant withdrawal, no narcan, so treat with what? |
Manage keep safe treat depression |
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High level withdrawal from stimulants: |
CRASHING ◦Depression…Anxiety…Agitation…IntenseCraving◦Fatigue◦Decreased energy |
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CNS depressants: |
Benzodiazepine Barbituate |
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Manifestations of someone abusing depressants: |
Sleep sedation seizures respiratory depression slurred speech |
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Depressant withdrawal: Medically ______, physical symptoms include: |
supervised |
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Depressant overdose treatment: |
Flumazenil (romazicon) IVP |
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Alcohol (ETOH) Major issue with high level alcoholic is missing vitamin _____ and causes _____ ______. |
B12 Brain damage |
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Adverse affects of alcoholism: |
vitamindeficiency, seizures, hyperglycemia, respiratory depression, FAS, liverdisease/cirrhosis |
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AEffects of alcohol: |
vasodilation,decreased body temperature |
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Treatment for alcoholism: |
nutritionalintervention, benzodiazepines, antiseizure meds |
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Alcohol withdrawal symptoms on severe level withdrawal: |
◦Delirium Tremens (DTs)◦Hypertensive crisis◦Tachycardia◦Hyperthermia◦Extreme agitation |