Pharmacology - Chapter 38 - Drug Abuse - Alcohol Flashcards

1
Q

Alcohol - most commonly used and abused drug in the US. T/F?

A

True!

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2
Q

Alcohol abuse - defined as…

A

the continued use of alcohol despite the development of social, legal, or health problems.

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3
Q

Alcoholism - def

A

chronic disease involving a strong need to drink, the inability to stop drinking, the occurrence of withdrawal symptoms, and tolerance. It is progressive.

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4
Q

Alcohol is a CNS ____.

A

Depressant.

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5
Q

Alcohol - enhances ____.

A

GABA.

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6
Q

Alcohol and the brain - it is a ___ pathway.

A

Reward.

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7
Q

The reward pathway consists of a network of ___ found in the ___ of the brain. When activated by a positive experience, a group of neurons near the top of the brainstem, called the ___ ____ ____ release the neurotransmitter dopamine. This message is relayed to a structure called the __ ____ (part of the emotional limbic system) and to a related part of the ____ ___, resulting in a pleasurable sensation.

A

neurons/middle of the brain/ventral tegumental area/nucleus accumbens/prefrontal cortex.

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8
Q

Alcohol interacts with ___ found in the cell membranes.

A

Proteins.

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9
Q

The loss of coordination with alcohol intoxication may result from effects of alcohol on a portion of the brain called the ___.

A

cerebellum.

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10
Q

Alcohol-induced memory lapses may result from impairment of the ______.

A

Hippocampus.

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11
Q

Mesolimbic Dopamine System - the perception of ___ is thought to result from activity within this system.

A

Pleasure.

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12
Q

Wernicke’s Encephalopathy - def

A

Confusion and abnormal movements, brought on by thiamine deficiency (vitamine B1) - it is also IRREVERSIBLE.

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13
Q

BAC - Above .40 = ___.

A

Medulla effects.

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14
Q

Alcohol - low levels may protect heart by raising HDL levels. T/F?

A

True!

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15
Q

Alcohol - Liver - causes ___ liver.

A

Fatty liver.

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16
Q

Alcohol - GI - increases secretion of __ ___ and destroys GI ___.

A

Gastric acid/mucosa.

17
Q

Alcohol - is not a kidney diuretic. T/F?

A

False - it is!

18
Q

Alcohol - can cause pancreatitis. T/F?

A

True!

19
Q

Alcohol - can cause sexual dysfunction - T/F?

A

True! - Makes you horny but your performance suffers.

20
Q

Who should avoid alcohol use?

A

Pregnant women, people who plan to drive, people taking anti-histamines, etc.

21
Q

Alcohol - stomach absorbs ____ % and the small intestine absorbs ___ percent.

A

20/80.

22
Q

What are some drugs given for alcohol withdrawal?

A

Benzos - Lorazepam
Alpha Adrenergic - Clonidine
Beta Blockers - atenolol
Anti-epileptic Agents - tegretol.

23
Q

Alcohol Withdrawal - Drugs/Use - Benzos

A

Decrease withdrawal symptoms, stabilize vital signs, prevent seizures and delirium tremens.

24
Q

Alcohol Withdrawal - Drugs/Use - Beta-Adrenergic Blockers -

A

Improve vital signs, decrease craving.

25
Q

Alcohol Withdrawal - Drugs/Use - Alpha Adrenergic Blocker -

A

Decreases withdrawal symptoms.

26
Q

Alcohol Withdrawal - Drugs/Use - Anti-epileptic Drug

A

Decreases withdrawal symptoms; prevents seizures.

27
Q

Antabuse (Disfuliram) - what does it do?

A

It inhibits alcohol metabolism.

28
Q

Naltrexone (Revia) - what is it and what does it do?

A

It is a pure opioid antagonist - it decreases the craving for alcohol.