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Substance Abuse
psyc Exam 2
41
Nursing
Undergraduate 3
10/28/2012

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Term
what age is it more prevalent for substance abuse?
Definition
18-24
men
Term
substance abuse (def)
Definition
maladaptive pattern of substance use manifested by recurrent and significant adverse consequences related to repeated use of the substance
or, any use of substances that poses significant hazards to heath
Term
physical dependance (def)
Definition
compulsive or chronic requirement. the need is so strong as to generate distress (physical or emotional) if left unfulfilled.
-cont use despite significant substance related problems
-cont use needed to avoid withdrawal
-development of tolerance
Term
tolerance (def)
Definition
the need for increased amounts of substance to elicit same effect or same does with less effect .
Term
psychological dependence (def)
Definition
overwhelming desire to repeat the use of a particular substance to produce pleasure or avoid discomfort
-produces intense carving
-usually related to withdrawal
Term
Substance intoxication (def)
Definition
development of reversible substance specific syndrome cause by ingestion or exposure to a substance
-physical or mental state of exhilaration and emotional frenzy or lethargy and stupor,
Term
Substance withdrawal (def)
Definition
the physiological and mental readjustment that accompanies the discontinuation of an addictive substance.
-substance induced maladaptive behavior change r/t stoping
-usually related to dependance
Term
durgs associated with substance use and disorders
Definition
alcohol
caffeine
amphetimines
canabis
cocaine
hallucinigenics
inhalants
nicotine
opioids
PCP-phencyclidine
sadative, hypnotics and antianxietys
Term
alcoholism, what the brain does to facilitate?
Definition
alcohol may produce morphine like substances that help addict the individual
Term
is alcohol a food??
Definition
yes, it contains calories
calories have no nutritional value though
Ethyl alcohol is the form that we drink.
Term
serving sizes
Definition
.5 oz of ETHO: body burns .5 per hour
-beer: 12 oz
-wine: 3-5 oz
-shot: 1 oz
Term
emotional stress and alcohol consumption
Definition
thought to increase the effect of alcohol on the system
Term
Pre-alcoholic phase
Definition
alcohol to relieve everyday stresses
-child learns from social drinking of parents
-tolerance develops
Term
Early alcoholic phase
Definition
begins with blackouts (amnesia)
-alch no longer pleasurable but REQUIRED
-sneaking drinks, secluded drinking, more frequent blackouts, chugging and keeping a supply, obsession
Term
the Crucial phase
Definition
loss of control and physiological dependence
-cant control if they drink or not.
-binge drinking (hours to weeks)
-this pt is extremely ill, angry and aggressive
-drinking is total focus
-will risk losing everything to drink
-loss of job and family and friends
Term
the chronic phase
Definition
emotional and physical disintegration
-usually intoxicated
-profound helplessness and self pitty
-abstinence results in hallucinations tremors and convulsions
Term
alcohol during prego
Definition
SGA
small compared to peers
epicanthial folds, sm mid face, low nasal bridge, thin upper lip ect,
heart and kidney defects
vision and hearing problems
mental retardation
ADHD
poor reasoning and decision making
Term
Sx of alcohol intoxication
Definition
-disinhibition of sex or agression
-impaired social and occupational function
-slurred speech
-incoordination
-flushing
Term
alcohol withdrawal
generals
Definition
occurs 4-12 hrs after last drink
lasts 3-7 days
Term
addiction
Definition
preoccupation-obsession
use despite neg outcomes-compulsion
Term
contemporary alcoholic
Definition
under 30 and addicted to at least one other drug
Term
with alcoholics which is afffected more
social or occupational life
Definition
social
ie family and friends
Term
BAL levels and associated manifestations
Definition
.03-euporia
.05-cooridinatin problems
.1-ataxia
.2-confusion
.3-coma or death
.5-resp disturbance
.6-death
Term
physical consequences of prolonged alcohol use
Definition
peripheral neuropathy
alcoholic myopathy
dementia
wernicke-korsakof syndrome
alcoholic cardiomyopathy
esophagitis
gastritis
pancreatitits
alcoholic hepatitis
cirrhosis
leukopenia
thrombocytopenia
sexual dysfunction
Term
physical consequences of prolonged alcohol use
peripheral neuropathy
Definition
peripheral nerve damage
r/t vit b deficiency
-pain, burning, tingling ect
Term
physical consequences of prolonged alcohol use
alcoholic myopathy
Definition
destruction of skeletal muscle
acute: pain, swelling and weakness, usually in the calf muscle and myogolbin in the urine
chronic: no pain or elevated enzymes
Term
physical consequences of prolonged alcohol use
wernike
Definition
encephalopathy from THIAMINE deficiency
-occular paralysis
-blurred vision
-ataxia
-solemenac
Term
physical consequences of prolonged alcohol use
korsakof
Definition
confusion
loss of memory
confabulation
Term
physical consequences of prolonged alcohol use
hypo or hyper glycemia
Definition
hypoglycemia related to liver failure
Term
physical consequences of prolonged alcohol use
liver disease
Definition
hepatitis
cirrhosis
hypoglycemia
Term
physical consequences of prolonged alcohol use
vitamin deficiency
Definition
folic acid
thiamine (werinke)
pyroxidine
iron and zinc deficiency
and vit a deficiency
Term
alcohol withdrawal Sx
Definition
tremors
halluciniations
grand mal seizures
DTs-disorientation, dec memory and hallucinations
Term
how to treat DT
Definition
benzos-enhances GABA
clonidine- central adrenergic
anti convulsants
Term
alcohol withdrawal syndrome
formal classification
Definition
two or more
-pulse over 100 and sweating
-insomnia
-hallucination
-n/v/ha
-low grade fever
Term
window of time for sz precaution with alch withdrawal
Definition
48 hours
Term
DT watch for alch withdrawal
Definition
1-4 days
hyperactivity of autonomic system and hallucinations
Term
sedative/hypnotic intoxication sx
Definition
inappropriate sexual or aggressive behavior
labile mood
impaired judgement, excitement and amnesia
slurred speech
incoordination
unsteady gait
nystagmus stupor
coma
Term
sedative/hypnotic withdrawal
Definition
6-8 hrs
autonomic hyperactivity (sweating and inc pulse)
tremor
insomnia
n/v
hallucination
anxiety
sz
Term
CNS stimulants sx
Definition
euphoria
affective blunting
hypervigilance
anxiety
tension
anger
tachy or brady cardia
chills
PUPIL DILATION
n/v
wt loss
resp depression
chest pain
Term
CNS stimulant withdrawal
Definition
dysphoria
sleep disturbance
VIVID UNPLEASANT DREAMS
increased appetite
Term
caffeine withdrawal
Definition
HA
fatigue
anxiety
depression
n/v
muscle pain and stiffness
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