Ch 24 Substance Abuse Flashcards Preview

MENTAL HEALTH > Ch 24 Substance Abuse > Flashcards

Flashcards in Ch 24 Substance Abuse Deck (17)
Loading flashcards...
1
Q

What are the intended effects of benzodiazepines

A

Maintenance of VS WNL
Decrease in risk of seizures
Decrease in the intensity of withdrawal manifestations

2
Q

What is carbamazepine ( tegretol) used for

A

Decrease in seizures in withdrawal

3
Q

What is propranolol used for

A

Decrease in craving

4
Q

What is the intended effects of disulfiram ( Antabuse)

A

It is a daily oral medication that is a type of aversion ( behavioral therapy)
Disulfiram used concurrently with alcohol will cause acetaldehyde syndrome to occur./effects include N/V, weakness, sweating, palpitations, and hypotension.
**monitor LFT to detect Hepatoxicity

5
Q

What can acetaldehyde syndrome progress to

A

Respiratory depression
Cardiovascular suppression
Seizures
Death

6
Q

What is naltrexone ( vivitrol)

A

A pure opioid antagonist that suppresses the craving and pleasurable effects of alcohol (also used for opioid withdrawal)

Concurrent use of opioids places the client at risk for overdose of opiates

7
Q

Acamprosate ( campral)

A

Is taken orally 3x day to reduce the craving for alcohol.

Diarrhea may result, maintain adequate fluid intake to prevent dehydration/ avoid use in pregnancy

8
Q

How is subcutex administered

A

Sublingually

9
Q

What is buprenorphine ( subcutex) used for?

A

Both detoxification and maintenance

10
Q

What is bupropion used for

A

Decreases nicotine craving and manifestations of withdrawal.

Chew sugarless gum, suck on hard candy, sip small amounts of water

11
Q

How long is nicotine gum recommended

A

No longer than 6 months
Chew gum. Slow and intermittently over 30 min
Avid eating or drinking 15 min prior and while chewing the gum

12
Q

Varenicline ( chantix)

A

Is a nicotine receptor agonist that promotes the release of dopamine to stimulate the pleasurable effects of nicotine
Reduces the incidence of relapse
Reduces craving for nicotine

13
Q

Chantix is contraindicated in who

A

Those who have chronic depression, serious mental illness, or SI

14
Q

What is carbamazepine ( tegretol) used for

A

It helps prevent seizures during alcohol withdrawal

15
Q

What meds will promote long term abstinence from alcohol

A

Disulfiram ( Antabuse)
Naltrexone ( vivitrol)
Acamprosate ( campral)

16
Q

What drug places the client at risk for acetaldehyde syndrome

A

Disulfiram places the client at risk for acetaldehyde syndrome of the client consumes alcohol while taking the med

17
Q

Name benzodiazepines

A

Chlordiazepoxide ( Librium)
Diazepam ( Valium)
Lorazepam ( Ativan)
Oxazepam ( serax)