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27 Cards in this Set
- Front
- Back
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signs of dependence
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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 |
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most common used drugs in adolescents
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marijuana
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causes of substance abuse
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from a relationship between community and personal variables
Attitudes Social influence - curious, peer pressure emotional influence family influence - family history media |
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risk factors for substance abuse
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family history
victim of abuse mental illness - depression phsyically disabled |
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what comorbid conditions occur with substance abuse
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depression
anxiety adhd CD/ODD PTSD |
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what is the diagnostic criteria for substance abuse
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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 |
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what is the prefrontal cortex do
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control planning, impulse, risk assessment, consequence prediction and organization
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what is the limbic system
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control emotions, dreams and goals
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what does the cerebellum control
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control coordination, movement, emotional maturity, and cognition
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what does the corpus collosum control
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control neurotransmitters and receptors in brain and dictates how quickly information is accessed
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what affects do alcohol have on brain development
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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 |
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what are physical complications of alcohol abuse
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cirrhosis
pancreatitis HTN OP CVA Wernicke-Korsakoff Syndrome Gallstones CVAs |
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what affects on brain development occur with marijuana
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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 |
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what are signs of substance abuse
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depression, fatigue, withdrawal, mood swings
poor grooming hostility poor grades lost interest in sports/activities change eating/sleeping habits erratic behavior lack motivation fearful |
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warning signs of teen drug use
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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 |
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physical signs of drug use
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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 |
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What is the CRAFT questionnaire stand for
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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 |
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urine testing shows what drugs and when
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2-3 days, amphetamines, cociane, opiates
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hair sample shows how long back
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2-3 months
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saliva detects drugs how long ago
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24 hours
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sweat patch is warn and shows how long of a drug in the body
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for however long the patch is worn
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blood sample is most frequently used for what testing
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ETOH
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what is the most commonly tested drugs when doing a tox screen
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ETOH
barbituates/sedatives anticonvulsants benzos antihistamines antidepressents antipscyotics stimulants narcotic analgesic cardiovascular drugs other - theophylline, caffeine, nicotine, |
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specific treatment for substance abuse/chemical dependence is based on what 3 things
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stage of addiction
extent of the symptoms the substance abused |
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what LT follow up for substance abuse
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psycho-social treatments
pscyhotherapy - supportive, coping-focused, social skills, exploratory |
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what is the treatment medications for alcohol
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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 |
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what is the medication treatment for opiod abuse
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ReVia Vivtirol (naltexone) bind with endorphins, reduce or competing blocking the effect of opiods
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