Substance Abuse Disorders

Front 1

Predisposing factors of substance abuse

Back 1

genetic, psychological, modeling, peer pressure, conditioning (reward: im the life of the party)

Modeling attitudes-culture (Irish pub)

Front 2

alcohol facts

Back 2

20% goes into the blood stream. conditions may change of absorption, goes directly to the brain central areas and slows down or depresses brain activity

Front 3

Prealcoholic phase

Back 3

use to relieve everyday stress and tensions of life, Tolerance develops

Front 4

phase II alcoholic

Back 4

begins with blackout, substance is now required, sneaks or secret drink, preoccupation with mainting supply, rapid gulps , enormous guild, defensiveness, excessive use of denial and rationalization

Front 5

III phase crucial

Back 5

lost control-addiction is evident, binge drinking from hours to weeks, extreme illness, drinking is total focus. lost job, family, marriage, friends and self respect

Front 6

IV phase

Back 6

emotional and physical disintergration, intoxicated more than sober, profound helplessness and self pit, impairment of reality and possible psychosis, abstention causes withdrawal symptoms that include hallucination, tremors convulsion, severe, agitation and panic, depression and suicidal ideation

Front 7

alcohol effects on the body

Back 7

myopathy, wernike encephalopathy, Karsakoff's syndrome (confusion, loss of recent memory)

Front 8

effects on the body alcohol

Back 8

alcoholic cardio myopathy, esophagitis, gastritis, pancreatitis, hepatitis, ascites, hepatic encephalopathy, cirrhosis, thrombocytopenia, leukopenia.

Front 9

alcohol intoxication

Back 9

100-200 mg/dl

Front 10

death may occur from alcohol at

Back 10

400-700 mg/dl

Front 11

alcohol withdrawal occurs

Back 11

within 4-12 hours of cessation or reduction,

Front 12

alcohol withdrawal symtpms

Back 12

anxiety, depression, not thinking clearly, fatigue, irritability, jumpiness, mood swings, nightmares,

other symptoms: clammy skin, dilated pupils , headache, insomnia, loss of appetite, n/v, pallor sweating tachy tremors,

Front 13

dt's

Back 13

body tremor, change in mental function, deep sleep, agitation, symptoms of alcohol withdrawal, give benzodiazepine-seizures, 12-48 hours,

Front 14

cns depressant catorgy

Back 14

barbiturate, non bar, antianxiety,

Front 15

withdrawal characteristic syndrome starts with reduction or cessation,

short acting drugs, Xanax and ativan

Back 15

symptoms may begin between 12 and 24 hours after last dose and reach peak intensity between 24 and 72 symptoms subside in 5-10 days

Front 16

long acting drug withdrawal (valium and phenobarbital)

Back 16

su,[tp,s ,au beom wotj om 2-7 days peak on 5th to 8th day symptoms subside in 10 -16 days.

Front 17

stimulant intoxication

Back 17

change in loc, disorientation and headache, agitation, symptoms of stroke, chest pain, palpitation, dry mouth, n/v, diarrhea, diaphoresis, hypervigaliance, tacy or brady pupillary dilation, weight loss muscular weakness

Front 18

stimulant withdrawal

Back 18

fatigue, insomnia, decreased appetite, vivid dreams

Front 19

opioid intox

Back 19

constricted pupils, decreased respiratory rate or absence, extreme fatigue, impairment in attention or memory, apathy

Front 20

opioid withdrawal heroin short acting

Back 20

occur within 6-8 hours, peak within 1-3 days, gradualyy subside over 5-10 days

Front 21

opioid withdrawal

Back 21

longer acting opioids, withdrawal symptoms begin 1-3 days after last dose, peaks 4-6 days, complete in 14-21 days

Front 22

opiod short acting demerol

Back 22

begain uickly reaches peak in 8-12 hours, complete in 4-5 days

Front 23

opioid withdrawal

Back 23

dysphoric mood, sweating diarrhea, n/v/ muscle aches, lacrimation or rhinorrhea, pupillary dilation, fever