Study Guide for LCDC Test Fully solved 2023
Stage 1 Addiction
Experimental
Stage 2
Abuse
Stage 3
Dependency
Recovery
is the process of initiating and maintaining abstinence from alcohol or other drug use
5 Critical Components of Effective Treatment
1) Assessment
2) Patient-Treatment Ma...
Study Guide for LCDC Test Fully solved 2023
Stage 1 Addiction
Experimental
Stage 2
Abuse
Stage 3
Dependency
Recovery
is the process of initiating and maintaining abstinence from alcohol or other drug use
5 Critical Components of Effective Treatment
1) Assessment
2) Patient-Treatment Matching
3) Comprehensive Services
4) Relapse Prevention
5) Accountability
Assessment of Treatment
uses diagnostic instruments and process to determine an individuals needs and
problems. Possible cause of addition
Patient-Treatment Matching
ensures the client receives the type of treatment based upon their personality
background mental condition and extent and duration of substance abuse
Comprehensive Services
range of services needed in addition to specific alcohol or drug treatment. To help
access the full extent of additional services needed for whole lie. Needs of addicted
person are often very complex, including health problems, financial and legal issues,
psychological problem.
Relapse Prevention
helps prevent chronic and relapsing disorder. Strategies for coping with these barriers
when they occur
Accountability for a treatment program
determine the success of specific approaches and modalities.
Model for Comprehensive Treatment
Assessment
Sam Day Intake
Documenting finding and treatment
preventative and primary medical care
testing for infections
weekly random drug test
pharmacotherapeutic interventions
group counseling interventions
basic abuse counsling
practical life skill
general health education
peer support
liasion services
,social and athletic activities
alternative housing
relapse prevention
outcome evaluation
2 types Response to Substance Abuse
Pharmacological modalities:
Affect physiological processes (detoxification and methadone maintenance)
Behavioral Modalities:
Influence behavior or learning processes
CNS
central nervous system
alcohol abuse
deliberate or unintentional use of beverage alcohol which results in any degree of
physical or mental emotional or social impairment of the user the user's family or society
CNS has 2 major parts
Brain
Spinal Cord
Peripheral nervous system-all the nerves throughout the body
the threshold dose
or minimal does refers to the smallest amount given which is capable of producing
some detectable response
Acetylcholine
an excitatory neurotransmitter released y axons
Drug effects
When drugs are taken in combination, the drug effects can result in unexpected or even
dangerous chemical interactions inside the body. One drug may make another act
faster or slower, or more powerfully or less powerfully than normal.
Norepinephrine
A neurotransmitter involved in arousal, as well as in learning and mood regulation
Dopamine
A neurotransmitter found in the brain body movement and pleasure
Serotinin
a brain neurotransmitter associated with regulation of sensory perception sleep and
body temperature
Associated with mental illness and certain drug hallucinations
Gamma-aminobutyric acid (GABA)
an inhibitory neurotransmitter substance that blocks the transfer of a nerve impulse to
an adjoining neuron in the brain. When the normal function of GABA is disrupted
Glycine
an inhibitory neurotransmitter substance found in the spinal cord
Enkephalines and endorphins
compounds have been extreacted from the brain and pituitary gland both compounds
have pain killin properties that are more powerful than morphine, with endorphins being
40 times more powerful than enkephalins and 100 times powerful than morphine
Alcohol use
, the consumption of beverage alcohol within some socially prescribed or ritualistic
context
alcohol misuse
unintentional or inappropriate use of beverage alcohol resulting in the impaired physical,
mental, emotional or social well being of the user.
Alcohol dependence
psychological and/or physical need for beverage alcohol-characterized by compulsive
use, tolerance, and physical dependence manifest by withdrawal symptoms
sedative-hypnotic drugs
Substances that induce depression on the CNS:
Barbiturates
Minor tranquilizers
Other sedative-hypnotics
Barbiturates
Used to treat seizures, anxiety, and induce sleep
drugs that depress the activity of the central nervous system, reducing anxiety but
impairing memory and judgment
Minor Tranquilizers (Anti-Anxiety)
low doses: Creates calmness relaxed and drowsy
high doses: can cause loss of coordination and stupor
Narcotics
Medically use of a class of opium-related drugs that suppress the sensation of pain by
binding to and stimulating the nervous system's natural receptor sites for endorphins
types of narcotics
opium, morphine, heroin
semisynthetic drugs
drugs that are chemically modified in the laboratory after being isolated from natural
sources
Oxycodone-Derived from Codeine
Heroin-derived from morphine
synthetic drugs
chemical substances produced artificially in a laboratory
Methadone (Dolophine)
Abstinence maintenance med. Binds with opiate receptors in CNS to produce analgesic
and euphoric effects. Prevents withdrawal symptoms in clients who were addicted to
opiate drugs. Precautions/interactions: do not use in clients who have severe asthma,
chronic respiratory disease, or history of head injury. Side/adverse effects: sedation,
respiratory depression, paradoxical CNS excitation.
Buprenorphine
opioid partial agonist
propoxyphene/acetaminophen
Darvocet
pain relief
non opiate agonist
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