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when a person's physiological reaction to a drug decreases with repeated administrations of the same dose |
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causes physiological changes to occur when blood and tissue concentrations of s drug decrease in individuals who have maintained heavy and prolonged use of a substance |
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transitory recurrences of perceptual disturbance caused by a person's earlier hallucinogenic drug use when he/she is in a drug-free state |
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an opiate antagonist given to people who have overdosed on an opiate (usually heroin) to reverse respiratory and CNS depression |
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Maladaptive pattern of substance use leading to clinically significant impairment or distress, manifested by one or more of the following during a 12-month period: 1.) Impaired role performance 2.) Risk-taking behavior 3.) Recurrent legal/social problems 4.) Continued use despite problems |
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Maladaptive pattern of substance use leading to clinically significant impairment or distress, manifested by three or more of the following within a 12-month period: 1.) tolerance 2.) withdrawal 3.) Substance taken more of/longer than intended 4.) Increased time preoccupied with substance 5.) Difficulties cutting down/controlling use 6.) Reduction/absence of important activities 7.) Use despite knowledge of recurrent problems caused by substance |
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safely and effectively withdrawing a person from an addictive substance |
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the recurrence of alcohol- or drug-dependent behavior |
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HIghest rate of alcohol abuse in which populations? |
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men, young people, whites, native americans, people with low income, and those who are unmarried |
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-Major Depression --> Cocaine -GAD --> Alcoholism -Schizophrenia --> Alcoholism, polydrug addiction -Borderline personality disorder -- episodic polydrug use |
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1. Loss of control of substance consumption 2. substance use despite association problems 3. tendency to relapse |
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all major organ systems CNS depressant Intoxication level: 0.10% |
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malnutrition, MI, stroke CNS stimulant Increase in dopamine, serotonin, and norepinephrine biological responses = :D |
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central, peripheral, autonomic nervous systems respiratory issues |
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Drugs used to treat opiate cravings: |
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Methadone Naltrexone Buprenorphine |
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stimulate the cerebral cortex and increases mental acuity Panic attacks, psychosis |
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Benzodiazepines affects... |
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CNS depression decrease duration of REM sleep withdrawal lasts for 8 days |
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C- Thought of CUTTING DOWN? A- ANNOYED YOU by criticizing drinking G- ever felt GUILTY? E- Drink when you first open your EYES? |
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Vital Signs during withdrawal: |
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Acute withdrawal is when... |
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emerges in several hours after the last drink peaks at 24-48 hours -->V/S changes, restlessness picking at clothes |
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Pharmacological treatment of alcohol withdrawal |
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Benzodiazepines --> prevent delirium tremens Long-acting CNS depressants --> produce sedation Antipsychotic medications -->psychotic |
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Pharmacological treatment of alcohol dependence |
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Disulfiram -->adversion therapy Naltrexone -->reduce cravings Adequate nutrition and supplemental vitamines |
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Feedback of personal risk Responsibility (personal control) Advice to change Menu of ways to reduce Empathetic Self-efficacy (optimism) |
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