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alcohol and drug related disorders
psych
18
Medical
Graduate
07/05/2011

Additional Medical Flashcards

 


 

Cards

Term
substance abuse
Definition
impairment or distress in at least 1/4 problem areas:

1)job
2)physical hazard
3)legal
4)interpersonal

Lasts for a 12 month period and the pt. has never met criteria for dependence
Term
substance dependence
Definition
3 of 7

1)tolerance (need increased amount or markedly decreased effect with same amnt)
2)withdrawal (characteristic withdrawal of particular substance or substance or closely related substance taken to relieve sx)
3)taken in longer period then intended
4) can't cut down or control the substance
5)spend a lot of energy/time trying to obtain the substance
6)give up social/occupational/recreational activities
7)keep using despite problems
Term
for substance dependence specify?
Definition
with or without physiologic dependence according to evidence of tolerance or withdrawal
Term
3rd leading cause of death in US
Definition
alcoholism
Term
Groups prone to alcoholism: (4)
Definition
1)antisocial
2)anxiety
3)mood disorders
4)gay/lesbian
Term
Type I alcoholism (6)
Definition
1)adult onset
2)gradually increasing consumption
3)personality characteristics of guilt, worry, dependency, introversion
4)little or no family hx of alcoholism
5)equal in men and women
6)better response to treatment than type 2
Term
Type II alcoholism (6)
Definition
1) early onset
2) impulsivity, distractibility, recklessness
3)antisocial personality disorder
4)family hx of alcoholism
5) male gender
6) poor tx response
Term
CAGE
Definition
1)felt the need to CUT DOWN on your drinking?
2)ANNOYED by criticism?
3)GUILTY about drinking?
4)EYE OPENER in the morning?
Term
strong evidence for alcoholism?
Definition
blood alcohol of 150 mg/dl in a non-intoxicated individual
Term
0-100 mg/dl BAL
Definition
sense of well being, sedation, tranquility
Term
100-150 mg/dl BAL
Definition
incoordination/irritability
Term
150-250 mg/dl BAL
Definition
slurred speech, ataxia
Term
>250 mg/dl BAL
Definition
passing out, unconscious
Term
>350 mg/dl BAL
Definition
comatose and die
Term
MCV is increased in up to 95% of _________
Definition
alcoholics
Term
___________ is increased in up to 75% of alcoholics and may be the first lab sign of alcoholism.
Definition
GGT
Term
Alcoholic labs
Definition
1) increased HDL
2) decreased LDL
3) decreased BUN
4) decreased RBC volume
5)increased uric acid level
6)increased lactate dehydrogenase
Term
90% of alcoholics may be identified with elevated ___________ and ___________
Definition
GGT, MVC
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