Substance Abuse
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| 689980300 | Alcohol Percentage | .5 x proof | 0 | |
| 689980301 | Alcohol Intoxication | Recent ingestion Behav/psych changes Slurred speech Incoordination Impairment in attention/memory | 1 | |
| 689980302 | Alcohol Withdrawal | Cessation of alcohol use Increased hand tremor Insomnia Nausea/vomiting Sweating | 2 | |
| 689980303 | Alcohol Absorption | Small intestine and stomach Food/water slow down absorption Carbonated liquids speed up | 3 | |
| 689980304 | BAC | 100 g of alcohol in 100 ml of blood is 100% (.10) | 4 | |
| 689980305 | Alcohol Metabolism | Liver metabolizes .25 oz alcohol/hr (.5 of one standard drink) | 5 | |
| 689980306 | Alcohol Toxic | Dehydrogenase converts to acetadelhyde and then converts to aldehyde hydrogenase to acetic acid | 6 | |
| 689980307 | Mechanisms of Action Alcohol | 5HT, DA, glutamate, GABA, enhances inhibitory effects of GABA | 7 | |
| 689980308 | .05 BAC | Decreased alertness Good feeling Release of inhibitions Impaired judgment | 8 | |
| 689980309 | .10 BAC | Slower reaction Impaired motor function Less caution | 9 | |
| 689980310 | .15 BAC | Large increases in reaction time | 10 | |
| 689980311 | .20 BAC | Depression in sensory/motor | 11 | |
| 689980312 | .25 BAC | Severe motor disturbance Staggering Sensory perceptions impairment | 12 | |
| 689980313 | .30 BAC | Stuporous but conscious | 13 | |
| 689980314 | .35 BAC | Surgical anesthesia Minimal level causing death | 14 | |
| 689980315 | .45 BAC | About death | 15 | |
| 689980316 | Behavior Effects | Bx effects the rate at which BAC rises Higher BAC needed to impair performance of chronic user Placebo effect | 16 | |
| 689980317 | Crime/Violence Alcohol | Homicide Assaults and other crimes of violence Suicide | 17 | |
| 689980318 | Brain Concerns Alcohol | Loss of brain tissue Wernicke-Korsakoff syndrome 10 drinks/day | 18 | |
| 689980319 | Liver Concerns Alcohol | Fatty liver Alcoholic hepatitis - inflammation Cirrhosis - 10 years of 1 pt whiskey/daily | 19 | |
| 689980320 | Other Concerns Alcohol | Heart disease Cancer Immune system | 20 | |
| 689980321 | Fetal Alcohol Syndrome | Growth retardation before/after birth Small head and eyes Midfacial area Flattened bridge Short length of nose | 21 | |
| 689980322 | Detoxification | Abstinence syndrome: Stage 1 - tremors, heart beat, sweating Stage 2 - hallucinations Stage 3 - delusions, delirium Stage 4 - seizure activity | 22 | |
| 689980323 | Nicotine Absorption | 90% absorbed 60 mg is lethal (one cigar = 2 lethal doses) | 23 | |
| 689980324 | Nicotine Physiological Effects | Mimics acetylcholine, blocks receptor Release adrenaline Nausea, dizziness, tremors Inhibits hunger, deadens taste buds | 24 | |
| 689980325 | Nicotine Treatments | Replacement therapy: gum, lozenges, skin patches, inhaler Zyban (bupropion) - Wellbutrin Chantix | 25 | |
| 689980326 | Nicotine Withdrawal | Daily use/several weeks 24 hours: Insomnia Depressed Irritable Decreased heart rate Anxiety | 26 | |
| 689980327 | Caffeine Intoxication | Recent consumption, 250 mg or more (more than 2-3 cups coffee) Restlessness Excitement Insomnia Flushed face Muscle twitching Rambling flow of thought/speech | 27 | |
| 689980328 | Caffeine | Coffee Tea Chocolate Energy drinks Caffeinated drinks OTC medications | 28 | |
| 689980329 | Caffeine Mechanism | Absorbed rapidly - 30 mins Blocks adenosine receptor Increase arousal Decrease fatigue Stimulant Relives headache | 29 | |
| 689980330 | Opioid Intoxication | Recent use Behav/psych changes: Apathy Impaired judgment Dysphoria Pupillary constriction: Slurred speech | 30 | |
| 689980331 | Opioid Withdrawal | Cessation/Administration of opioid antagonist Dysphoric mood Nausea Muscle aches Yawning Insomnia | 31 | |
| 689980332 | Opioids | Morphine - active ingredient Codeine - secondary active ingredient Heroin - chem derivative - more potent because lipid soluble and enters brain quicker | 32 | |
| 689980333 | Opioid Mechanisms | Enkephalins - morphine NTs (brain/adrenal glands) Endorphins - morphine NTs ( brain/pituitary glands) Pain regulation | 33 | |
| 689980334 | Opioids Benefits | Pain relief Colic Cough suppressant | 34 | |
| 689980335 | Opioids Negative | Dependence OD | 35 | |
| 689980336 | Hallucinogen Intoxication | Recent use Anxiety Depression Paranoid ideation Impaired judgment Perceptual changes: Derealization Illusions Hallucinations During/shortly after hallucinogen: Pupillary dialation Sweating Blurring of vision Tremors | 36 | |
| 689980337 | Hallucinogen Persisting Perception Disorder (Flashbacks) | Re-experiencing following cessation of hallucinogen: geometric hallucinations, intensified colors, halos around objects. | 37 | |
| 689980338 | Phencyclidine Intoxication | Recent use Belligerence Impulsiveness Impaired judgment Unpredictability Within an hour: Hypertension Numbness Muscle rigidity Seizures | 38 | |
| 689980339 | Hallucinogens Terms | Phantastica Psychotomimetics Dellirants | 39 | |
| 689980340 | Phantastica | group of drugs that create a world of fantasy; also known as psychedelics (mind-viewing) drugs | 40 | |
| 689980341 | Psychotomimetics | mimicking psychosis | 41 | |
| 689980342 | Dellirants | another group of drugs that cause cessation and loss of touch with reality | 42 | |
| 689980343 | Phantastica Indole Hallucinogens | Indole - chem structure found in 5HT and LSD. Stimulate serotonin receptors. Alter perception, anxiety, panic attacks. Hallucinogen persisting perception disorder. Psilocybin - active ingredient in Psilocybe mushrooms | 43 | |
| 689980344 | Phantastica Catechol Hallucinogens | Mescaline peyote - cactus Mescaline - active ingredient Synthetic - MDMA, MDA | 44 | |
| 689980345 | Deliriants PCP | PCP - developed as anesthetic Angel dust - PCP sprinkled on plant such as oregano/parsley Ketamine - PCP like drug known as K or Special K | 45 | |
| 689980346 | Deliriants Anticholinergic Hallucinogens | Belladona Mandrake Henbane Natura | 46 | |
| 689980347 | Deliriants | Amanita muscaria Salvia divinorum | 47 | |
| 689980348 | Cannabis Intoxication | Recent use Euphoria Anxiety Impaired judgment Social withdrawal Two/more signs: Conjuctival injection (red eyes) Increased appetite Dry mouth | 48 | |
| 689980349 | Marijuana | Cannabis = plant THC = active ingredient Resin is in flower Hashish = concentrated resin from cannabis plant Anandamide = chem found in brain; acts like marijuana | 49 | |
| 690003765 | Caffeine | is NOT a depressant | 50 | |
| 690003766 | LSD | is NOT classified as an opioid | 51 | |
| 690003767 | Opioids Types | Oxycoton Oxycodon Codeine Hydrocodone | 52 | |
| 690003768 | Hallucinogen Types | LSD Mushrooms | 53 | |
| 690003769 | Marijuana Causes | NOT nausea | 54 | |
| 690003770 | Primary Prevention | aimed at people who have not tried drugs | 55 | |
| 690003771 | Secondary Prevention | aimed at people with drug problems | 56 | |
| 690003772 | Methadone | treats opioid dependance | 57 | |
| 690003773 | Tertiary Prevention | aimed at relapse prevention or follow up program | 58 | |
| 690003774 | Universal Prevention | aimed at entire population | 59 | |
| 690003775 | Selective Prevention | aimed at high risk groups w/general populations | 60 | |
| 690003776 | Indicated Prevention | aimed at individuals who show signs of developing problems | 61 | |
| 690003777 | Scare Tactics/Facts | does not work | 62 | |
| 690003778 | Contingency Management | individuals are given immediate rewards for clean urine samples | 63 | |
| 690003779 | Other Tx for SA | Outpatient Intensive outpatient Inpatient Detox | 64 | |
| 690003780 | CBT | Effective | 65 | |
| 690003781 | Alcohol Pharmacological Tx | Benzos - withdrawals Antabuse - side effects Naltroxene - opioid antagonist Acamprosate - resembles GABA | 66 | |
| 690003782 | Nicotine Pharmacological Tx | Nicotine replacement therapy Zyban - inhibit NE and DA reuptake Chantix - nicotine-receptor agonist | 67 | |
| 690003783 | Opioid Pharmacological Tx | Methadone - minimizes withdrawal Buprenorphrine - detox/maintenance Naltrexone | 68 | |
| 690003784 | Motivational Interviewing | Non-confrontational approach Targets level of motivation | 69 | |
| 690003785 | MI Changes of Change | Precontemplation Contemplation Preparation Action Maintenance | 70 | |
| 690003786 | OARS | Open ended questions Affirmations Reflections Summaries | 71 | |
| 690003787 | Alcohol | is made by yeasts during fermentation | 72 | |
| 690003788 | Moist Snuff | finely chopped tobacco, held in mouth | 73 | |
| 690003789 | Quid | piece of chewing tobacco | 74 | |
| 690003790 | Opium | raw plant substance containing morphine and codeine | 75 | |
| 690003791 | Black Tar | illicit heroin from Mexico | 76 |
