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27 Cards in this Set

  • Front
  • Back
signs of dependence
increased tolerance or need to increase amounts
withdrawal symptoms
unsuccessful efforts to decrease use
increase time spent in activities to obtain drugs
withdrawal from social and recreational activities
still use even with issues
most common used drugs in adolescents
marijuana
causes of substance abuse
from a relationship between community and personal variables
Attitudes
Social influence - curious, peer pressure
emotional influence
family influence - family history
media
risk factors for substance abuse
family history
victim of abuse
mental illness - depression
phsyically disabled
what comorbid conditions occur with substance abuse
depression
anxiety
adhd
CD/ODD
PTSD
what is the diagnostic criteria for substance abuse
12 months of:
recurrent substance abuse resulting in failure to fulfill major role obligations at work, school, or home
recurrent substance use in situations in which it is physically hazardous
legal issues related to substance use
continued substance use despite having persistent or recurrent social or interpersonal problem caused by drugs
what is the prefrontal cortex do
control planning, impulse, risk assessment, consequence prediction and organization
what is the limbic system
control emotions, dreams and goals
what does the cerebellum control
control coordination, movement, emotional maturity, and cognition
what does the corpus collosum control
control neurotransmitters and receptors in brain and dictates how quickly information is accessed
what affects do alcohol have on brain development
permanent damage to neurochemical, cellular, synaptic, and structural organization
decreases solving ability, decreased verbal/non-verbal retrieval, hindered visuospatial skills, slower effective working memory.
worsen frontal limbic system - can develop antisocial
increase black outs - hippocampus
what are physical complications of alcohol abuse
cirrhosis
pancreatitis
HTN
OP
CVA
Wernicke-Korsakoff Syndrome
Gallstones
CVAs
what affects on brain development occur with marijuana
decreased thinking tasks
verbal memory function can partially recover, complex attention does not recover
slow psychomotor speed, poor complex attention, weak verbal memory, and impaired planning ability
have larger prefrontal cortex volume - decreased decision making, reduced attention
what are signs of substance abuse
depression, fatigue, withdrawal, mood swings
poor grooming
hostility
poor grades
lost interest in sports/activities
change eating/sleeping habits
erratic behavior
lack motivation
fearful
warning signs of teen drug use
secretive
new interest that highlight drug use
demand more privacy, lock doors, avoid eye contact
missing money, valuables, prescriptions
use eye gets
skipping class, trouble at school
depressed, withdrawn
physical signs of drug use
change in eating habits
slow or staggering walk, pro physical coordination
inability to sleep, awake at unusual times
red, watery eyes, change in pupils,
puffy face
cold, sweaty palms, shaking hands
smell of substance on breath
extreme hyperactivity, excessive talkativeness, runny nose
needle markes
n/v, excessive sweating
tremor
irregular HR
What is the CRAFT questionnaire stand for
C - ridden in car with someone on drugs
R - do you do drugs to relax
A - do drugs alone
F - forget things you did when on drugs
F - family tell you, you need to cut back
T - gotten in trouble bc of drugs
urine testing shows what drugs and when
2-3 days, amphetamines, cociane, opiates
hair sample shows how long back
2-3 months
saliva detects drugs how long ago
24 hours
sweat patch is warn and shows how long of a drug in the body
for however long the patch is worn
blood sample is most frequently used for what testing
ETOH
what is the most commonly tested drugs when doing a tox screen
ETOH
barbituates/sedatives
anticonvulsants
benzos
antihistamines
antidepressents
antipscyotics
stimulants
narcotic analgesic
cardiovascular drugs
other - theophylline, caffeine, nicotine,
specific treatment for substance abuse/chemical dependence is based on what 3 things
stage of addiction
extent of the symptoms
the substance abused
what LT follow up for substance abuse
psycho-social treatments
pscyhotherapy - supportive, coping-focused, social skills, exploratory
what is the treatment medications for alcohol
antabuse - blocks metabolism of liver
ReVia, Vivitrol - interfere with activation of endorphins, block pleasure effects
Topamax - reduce ETOH cravings
Vitamin B12 - prevent Wernicke-Korsakoff syndrome
what is the medication treatment for opiod abuse
ReVia Vivtirol (naltexone) bind with endorphins, reduce or competing blocking the effect of opiods