Mh Exam Iii Sub Abuse

Front 1

A relatively pure antagonist that blocks the euphoric effects of opioids

Back 1

Naltrexone (Trexan, Revia)

Front 2

LAAM = Levo-alpha-acteylmethadol

Back 2

An alternative to methadone

Front 3

Synthetic opiate that blocks the craving for and effects of heroin

Back 3

Methadone (Dolophine)

Front 4

A Nonopioid suppresser of opioid withdrawal symptoms & Is nonaddicting

Back 4

Clonidine (Catapres)

Front 5

This drug is marketed to help with HTN and High BP, but can also be helpful in the management & treatment of chemical dependency

Back 5

Clonidine (Catapres)

Front 6

An agent used for Narcotic addiction

Back 6

Naltrexone (Trexan, Revia)

Front 7

This drug blocks alcohol from being absorbed and the PT become violently ill N/V. Name this drug

Back 7

Antabuse (Dislfiram)

Front 8

Al-non or Alateen

Back 8

a slef-help group that offers support and guidance for the adults and teenagers.

Front 9

Alcoholics Anonymous

Back 9

One of the most effective treatment modalities for all addictions has been the 12 steep program.

Front 10

Help individuals learn from these situations so that periods of soberity can be lengthened over time, and lapses and relapse are not viewed as total failures…what is

Back 10

Relapse prevention.

Front 11

Substance-abuse intervention

Back 11

a useful tool for helping the resistant addict develop a willingness to engage in treatment.

Front 12

Lysergic Acid Diethylmaide

Back 12

LSD

Front 13

Angel dust, Hore Tranq or Peace Pills are also known as

Back 13

(PCP) Phencyclidine Piperidine

Front 14

THC

Back 14

Tetrahydrocannabinol, resin secreted from the flowering tops of leaves of the cannabis pant.

Front 15

This is the most widely used illicit drug in the US

Back 15

Marijuana (Cannabis Sativa)

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Addiction is characterized by

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1. Loss of control of substance consumption, 2. Substance use despite associated problems, 3. Tendency to relapse.

Front 17

Co-occuring disorder

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include the combination of 1. major depression with cocaine addiction, 2. alcoholism with generalized anxiety disorder, 3. Alcoholism and polydrug addiction with schizo, 4. Borderline personality disorder with episodic polydrug abuse.

Front 18

A person’s physiological reaction to a drug decreases with repeated administration of the same dose

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Tolerance.

Front 19

Physiological changes to occur when blood and tissue concentrations of a drug decrease in individuals who have maintained heavy and prolonged use of substances

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What is Withdrawal.

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Criteria for Substance Abuse

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Inability to fulfill roll expectations, Participating in hazardous activities while impaired (boating), Legal or Personal Problems, Continued Abuse despite problems.

Front 21

Criteria for Sub Dependency

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Presence of tolerance to the drug, Presence of W/D Syndrome, Larger & Larger Amounts, Unsuccessful attempts to cut down, Inability to have personal life, Continued Abuse despite problems.

Front 22

Theories related to use, list what the three are

Back 22

Biological, Psychological, Sociocultural

Front 23

This ethnic group has a decreased aldehyde dehydrogenase level and has difficulty breaking down the Alcohol. NV are use the standard S/S

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Asian Population

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This ethnic group has a higher incidence of drinking

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Alaskan & Native American

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Ruminates means

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Badgering

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Co-dependent Behaviors

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Attempt to control someone’s drug use, Ruminates about use, Finds excuses for that person, Covers or lies for abuser, makes threats, avoids events, eliciting promise to change, searching for or hiding supplies.

Front 27

Assessment Criteria of Sub Abuser

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HX of use, Med Hx, Psych HX, Psychosocial Issues, Psychological Changes.

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Characteristics of Psychological Assessment of a Sub Abuser

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Denial, Depression, Anxiety, Dependency, Hoplessness, Low Self Esteem.

Front 29

Interview Guidelines Questions have to ask (2)

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1. In the last year have you ever drank or used drugs more then you meant to? 2. Have you felt you wanted or needed to cut down on your drinking or drug use in the last year?

Front 30

List 5 Assessment Details Required

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Drug Used, Route, Quantity, Time of last use, Usual pattern of use.

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Special note with BAL (blood alcohol level)

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As tolerance develops, a discrepancy is seen between BAL and expected behavior.

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Alcoholic Progression (list Phases)

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Phase I (Prealcoholic), Phase II (Early Acoholic), Phase III (Crucial), Phase IV (Chronic)

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Uses to relieve stress, family hx, acceptable , tolerance develops…List Phase

Back 33

Phase I

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Blackouts, ETOH now required, sneaking drinks, guilty, defensive

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Phase II

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Loss of control, binges, physiological dependence, loss of ability to choose

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Phase III

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Emotional /Physical disintegration. Intoxicated more than sober, Life threatening physical manifestations

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Phase IV

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S/S of Phase I

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Elevated BP, P, agitation, irritability, insomnia, diaphoresis, course intention tremor, N/V , dilated pupils, flushed face, hyperreflexia.

Front 38

This Detox medication is water soluable

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Serax (Oxazepam)

Front 39

DTs are present in what phase of Alcoholism

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Phase II

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Phase II withdrawal S/S

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DTs, hyper excitable state, Psychotic SX, 20% mortality rate, Gram-Sepsis, May die from system collapse.

Front 41

Opiate S/S of use

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constricted pupils, decreased respirations, drowsiness, slurred speech

Front 42

Opiate WD S/S

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Yawning, insomnia, irritability, runny nose, panic, cramps, chills, fever,

Front 43

Common signs of CNS Stimulant abuse

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Tachycardia, Dilation of Pupils, Dryness of oronasal cavity, Excessive Motor activity, Euphoria, Paranoia/Psychosis

Front 44

Cocaine WD S/S

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depression, paranoia, lethargy, anxiety, insomnia, nausea, vomiting, sweating, chills.

Front 45

Properties of Cannabis sativa

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Depressant and hallucinogenic.

Front 46

Psilocybin =

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Magic Mushrooms

Front 47

List some Inhalants

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Volatile solvents, Spray Pain, Glue, Cigarette lighter fluid, Propellant gases used in aerosols.

Front 48

Hyperthermia, heart failure, kidney failure , acute dehydration are all adverse effects of Rave Drugs…list a few

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Ecstasy, MDMA, Adam, yaba, XTC

Front 49

Date Rape drug

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Rohypnol or “roofies”

Front 50

Anterograde Amnesia is associated with which drug

Back 50

Roofies, Rohypnol

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Assessment Guidelines for CNS Stimulant Use

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Assess for the following, Withdrawal, OD, SI, Physical or Medical issues, Interest in making change, knowledge of community resources.

Front 52

#1 Relevant NSG DX for Substance Abuse PT

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Risk of Suicide

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#2 Relevant NSG DX for Substance Abuse PT

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Risk for self-directed or other – directed violence

Front 54

Phase I ETOH detox medication

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(Benzos) Librium & Serax

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Phase II ETOH Detox (DT stage)

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Dilantin, Benzos or haldol

Front 56

Medication for Alcoholic Hallucinosis

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Haldol

Front 57

Opiate Detox

Back 57

Clonadine (Catapres), Alpah blocker, Naltrexon, Methadone

Front 58

Narcan IV push is given for an OD of which drug

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Opiates/Narcotics

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FRAMES

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Feedback of personal risk, Responsibility of the patient, Advice to change, Menu of ways to reduce substance use, Empathetic counseling, Self-efficacy or optimism of the patient.

Front 60

AA =

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Alcoholics Anonymous (AA)

Front 61

Antabuse (disulfiram)

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is used with motivated patients who have shown the ability to stay sober.