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61 Cards in this Set
- Front
- Back
A relatively pure antagonist that blocks the euphoric effects of opioids
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Naltrexone (Trexan, Revia)
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LAAM = Levo-alpha-acteylmethadol
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An alternative to methadone
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Synthetic opiate that blocks the craving for and effects of heroin
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Methadone (Dolophine)
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A Nonopioid suppresser of opioid withdrawal symptoms & Is nonaddicting
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Clonidine (Catapres)
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This drug is marketed to help with HTN and High BP, but can also be helpful in the management & treatment of chemical dependency
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Clonidine (Catapres)
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An agent used for Narcotic addiction
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Naltrexone (Trexan, Revia)
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Antabuse (disulfiram)
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is used with motivated patients who have shown the ability to stay sober.
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This drug blocks alcohol from being absorbed and the PT become violently ill N/V. Name this drug
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Antabuse (Dislfiram)
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Al-non or Alateen
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a slef-help group that offers support and guidance for the adults and teenagers.
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AA =
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Alcoholics Anonymous (AA)
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Alcoholics Anonymous
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One of the most effective treatment modalities for all addictions has been the 12 steep program.
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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
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Relapse prevention.
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Substance-abuse intervention
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a useful tool for helping the resistant addict develop a willingness to engage in treatment.
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Lysergic Acid Diethylmaide
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LSD
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Angel dust, Hore Tranq or Peace Pills are also known as
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(PCP) Phencyclidine Piperidine
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THC
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Tetrahydrocannabinol, resin secreted from the flowering tops of leaves of the cannabis pant.
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This is the most widely used illicit drug in the US
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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.
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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.
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A person’s physiological reaction to a drug decreases with repeated administration of the same dose
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Tolerance.
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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.
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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.
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Theories related to use, list what the three are
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Biological, Psychological, Sociocultural
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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.
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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.
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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?
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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
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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.
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This Detox medication is water soluable
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Serax (Oxazepam)
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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.
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Opiate S/S of use
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constricted pupils, decreased respirations, drowsiness, slurred speech
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Opiate WD S/S
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Yawning, insomnia, irritability, runny nose, panic, cramps, chills, fever,
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Common signs of CNS Stimulant abuse
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Tachycardia, Dilation of Pupils, Dryness of oronasal cavity, Excessive Motor activity, Euphoria, Paranoia/Psychosis
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Cocaine WD S/S
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depression, paranoia, lethargy, anxiety, insomnia, nausea, vomiting, sweating, chills.
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Properties of Cannabis sativa
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Depressant and hallucinogenic.
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Psilocybin =
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Magic Mushrooms
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List some Inhalants
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Volatile solvents, Spray Pain, Glue, Cigarette lighter fluid, Propellant gases used in aerosols.
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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
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Date Rape drug
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Rohypnol or “roofies”
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Anterograde Amnesia is associated with which drug
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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.
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#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
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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
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Medication for Alcoholic Hallucinosis
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Haldol
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Opiate Detox
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Clonadine (Catapres), Alpah blocker, Naltrexon, Methadone
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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.
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