CH 7 (Addiction & Drugs) – Flashcards

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Addiction includes A) withdrawal. B) tolerance. C) deterioration of work performance. D) All of the above
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D) All of the above
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Illicit drugs A) may be manufactured illegally. B) are psychoactive. C) differ from state to state in regards to laws governing their possession. D) All of the above
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D) All of the above
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Which of the following is true about routes of administration of drugs? A) Drugs can't be absorbed through the skin. B) Intravenous injection is the most dangerous method of administration. C) The least effective route of administration is by inhalation. D) None of the above
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B) Intravenous injection is the most dangerous method of administration.
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The fastest-acting method of injection is A) inunction. B) intramuscular. C) intravenous. D) subcutaneous
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C) intravenous.
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Using a nicotine patch for smoking cessation is an example of A) injection. B) ingestion. C) inunction. D) inhalation.
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C) inunction.
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Suppositories A) are designed to melt at body temperature. B) are inserted into the vagina or anus. C) cause a drug to remain inactive in the body for several hours. D) All of the above
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B) are inserted into the vagina or anus.
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James is no longer able to feel the same effects from his drug of choice with his regular dose; he needs to increase the amount of the drug to feel the desired effects. This example demonstrates A) withdrawal. B) tolerance. C) adjustment. D) dosing.
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B) tolerance.
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David spends four hours a day lifting weights. He has also started taking steroids to increase his muscle mass and is preoccupied with gaining weight. He most likely suffers from this disorder. A) codependence B) anorexia nervosa C) muscle dysmorphia D) bulimia nervosa
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C) muscle dysmorphia
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To be addictive A) a behavior must have the potential to produce a positive mood change. B) the body eventually requires the chemical in order to feel normal. C) continued involvement with a substance or activity occurs despite ongoing negative consequences. D) All of the above
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D) All of the above
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Jason doesn't see that his addiction to heroin is self-destructive. He is experiencing A) obsession. B) compulsion. C) displacement. D) denial.
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D) denial.
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Which of the following is true about gambling addictions? A) Men are more likely to have gambling problems than women. B) Gambling problems are greater among individuals with high socioeconomic status. C) Compulsive gamblers seek the money and not the excitement. D) None of the above
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A) Men are more likely to have gambling problems than women.
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Which of the following is true about gambling addictions?
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Compulsive gamblers seek a high from the excitement rather than from money.
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Alcohol, caffeine, and tobacco are all classified as which type of drug?
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Recreational.
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Which of the following statements is true of cocaine
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It is an anesthetic.
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Marijuana is administered therapeutically for all of the following reasons EXCEPT
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to reduce appetite for weight control.
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Heroin has a
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high potential for addiction and no accepted medical use
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The most popular form of LSD is
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blotter acid that is swallowed or chewed
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Which of the following is true about steroids?
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Adverse effects include mood swings, elevated cholesterol levels, acne, and hypertension.
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True or false. Depressants speed up neuromuscular activity and can increase focus and alertness.
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False
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True or False. Withdrawal and tolerance are key aspects of addiction.
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True
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Using a drug for a purpose other than that which it is intended is
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drug misuse
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An aspirin taken to relieve minor muscle aches would be considered an
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OTC drug
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Which of the following is true about over-the-counter drugs?
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They can be abused
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Mikail is attempting to reduce his caffeine consumption. Which of the following drinks that he consumes daily has the highest amount of caffeine per serving?
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Gourmet coffee from a coffee shop.
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What is the most common reason offered by college students to explain their drug use?
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to reduce stress
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A large dose of cocaine can cause
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increased heart rate and blood pressure.
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Amphetamines such as Ritalin or Adderall are commonly prescribed to treat
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ADHD
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Opioids are also called
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narcotics
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Marijuana today is
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much more potent than in the 1960s
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The most noticeable effect of the THC in marijuana is
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bloodshot eyes
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True or False. Methamphetamine can be snorted or smoked, but not injected or orally ingested.
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False (Meth can be injected, smoked, or orally ingested.)
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Long-term effects of marijuana include all the following EXCEPT
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increased production of testosterone in males
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Marijuana use presents clear dangers to those driving motor vehicles (as well as others on the road) because it
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slows reaction time and impedes decision-making
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Morphine, codeine, and heroin are all
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opioids
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Which of the following is NOT true about the treatment for opioid addiction?
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The most difficult time in the withdrawal process occurs 3 to 7 days after the last use.
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Ecstacy is a
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stimulant and mild hallucinogen
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Which of the following is true about psilocybin?
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it can cause hallucinations
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Which type of drug has the potential to alter a person's mood or behavior
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psychoactive drug
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True or false. Endorphins are hormones that act as "the body's own opioids" in their ability to reduce pain and produce feelings of well-being.
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True
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True or false. A synergistic drug interaction can be dangerous or even deadly.
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True
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True or false. Methadone maintenance does not have the same potential for addiction that heroin does.
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False
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True or False. Prescription drug abuse has increased dramatically among college students over the past 10 years
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True
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Addiction
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-the compulsive, repetitive use of a substance/drug that occurs despite ongoing negative consequences to the user -addictive behaviors initially provide a sense of pleasure or stability that's beyond an individual's power to achieve in other ways. But eventually, the individual needs to consume the addictive substance or enact the behavior to feel normal/function on a daily basis
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Physiological Dependence
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the adaptive state of the brain/body processes that occur with regular addictive behavior and results in withdrawal if the addictive behavior stops
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Tolerance
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when increased amounts of a drug are required to achieve the desired effect
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Psychological Dependence
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dependency of the mind on a substance or behavior, which can lead to psychological withdrawal symptoms such as anxiety, irritability or cravings
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Withdrawal
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a series of temporary physical/psychological symptoms that occur when an addict abrupty abstains from an addictive chemical or behavior
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Signs of Addiction
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Compulsion+ Obsession Loss of Control Negative Consequences Denial
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Compulsion
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preoccupation with a behavior and an overwhelming need to perform it -characterized by obsession=excessive preoccupation with and addictive object or behavior
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Loss of Control
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the inability to predict reliably whether a particular instance of involvement with an addictive substance or behavior will be healthy or damaging
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Negative Consequences
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physical damage, legal trouble, financial ruin, academic failure, and other severe problems associated with addictions
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Denial
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the inability to perceive that the behavior is self-destructive
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Process addiction
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a condition in which a person is dependent on (addicted to) some mood-altering behavior or processes, such as gambling, eating or exercise
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compulsive (pathological) gambler
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-A person addicted to gambling -characterized by preoccupation with gambling, using gambling to escape problems, lying to members to hide the extent of involvement with gambling
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compulsive shopper
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-people who shop on impulse as a way of coping and find it difficult to control their spending behaviors -they buy more than one of the same thing and keep items in their closet with their tags on -shopping doesn't make them feel better, but actually worse
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addictive exercisers
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people who exercise compulsively to try to meet needs of nurturance, intimacy, self-esteem, and self-competency
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Internet addiction
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compulsive use of computer, cell phones, and other forms of technology to access the internet for activities such as email, games, blogging
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excessive use of a drug
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drug abuse
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codependence
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a self-defeating relationship pattern in which a person is addicted to the addict -codependents find it hard to set health boundaries and they assume responsibility for meeting others' needs to the point that they subordinate or even cease being aware of their own needs -codependents are the primary enablers of their addicted loved ones
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enabler
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people who knowingly or unknowingly protect addicts from the consequences of their behavior
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drugs that affect brain chemistry and have potential to alter mood and behavior
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psychoactive drugs
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6 Types of drugs
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-prescription drugs -OTC (over the counter) drugs -recreational drugs (alcohol, tobacco, caffeine products--legal though psychoactive) -herbal preparations -illicit (illegal) drugs (all of which are psychoactive) -commercial preparations (household cleaners, cosmetic, perfume)
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oral ingestion
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intake of drug through the mouth -drug takes longest to reach bloodstream compared to other means
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inhalation
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introduction of drugs through respiratory tract ( sniffling, snorting, smoking, inhaling)
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injection
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introduction of drugs into body via a hypodermic needle -fastest way for drug to reach bloodstream
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inunction
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introduction of drugs through the skin ex: nicotine patches
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suppositories
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mixture of drugs and a waxy medium designated to melt at body temp that are inserted into vagina or anus
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use of multiple medications, vitamins, or illicit drugs simultaneously
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polydrug use
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interaction of 2 or more drugs that produce more profound effects than would be expected if the drugs were taken separately
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synergism
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Why do college students do drugs?
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-to reduce stress/relax/forget about problems -to help them study -social pressure -genetics
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Stimulant
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drug that increases CNS activity ex: cocaine, amphetamines,methamphetamines, and caffeine
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Describe how drugs affect the brain
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-neurons containing dopamine relay messages about pleasure through their nerve fibers to nerve cells in the limbic system, which regulates emotion -Other nerve fibers also connect to part of the frontal region of the cerebral cortex, the area of brain that plays a role in memory, thinking, perception, consciousness -this pleasure circuit, AKA mesolimbic dopamine system, spans the brainstem, the emotional limbic system, and the thinking frontal cortex -all addicting drugs activate the brain's pleasure circuit
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-both an anesthetic and a stimulant -in small doses, it can slow heart rate. But in larger doses, it can lead to increase in heart rate/blood pressure, suppress appetite, and lead to convulsions and death
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Cocaine
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Route of administration for cocaine
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snorted, smoked or injected
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The active ingredient in marijuana
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THC
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Effects of marijuana
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dilation of blood vessels which produce bloodshot eyes intensified reactions to various stimuli reduces driver's ability to react and make quick decisions
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Depressant
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drugs that slow down activity of CNS ex: alcohol, opioids, barbituates, and benzodiazepines
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drugs that induce sleep, relieve pain and induce euphoria -they decrease heart rate, respiration, and blood pressure -AKA narcotics
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opioids
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Of all opioids, ____has greatest notoriety as an addictive drug
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heroin
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-white powder derived from morphine -more addictive/potent than morphine. -has no medical uses -mainly administered through intravenous injections -moods swings from euphoric highs followed by depressive lows/ slow respiration, constricted pupils, feelings of drowsiness and a dreamy, mentally slow feeling
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heroin
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a potent, long-acting addictive drug that strongly activates the brain's reward centers by producing a sense of euphoria -in small doses, it can increase physical activity, alertness, and decrease appetite -in large doses, can lead to convulsions, irregular heartbeats, death
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methamphetamine
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-large and varied group of synthetic agents that stimulate CNS -small doses can improve alertness, increase attention, elevate mood, and decrease fatigue -repeated use can lead to psychological/physical dependence
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amphetamine
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Route of administration for methamphetamine
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snorted, smoked, ingested orally, or injected
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opioid-like hormones that are manufactured in the human body and contribute to natural feelings of well-being
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endorphins
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the most difficult time in the withdrawal process is ____.
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24-72 hours after last use
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drugs that depress the CNS and induce sleep and reduce anxiety
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barbituates
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-AKA tranquilizers -a class of CNS depressant drugs with sedative, hypnotic and muscle relaxing effects
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benzodiazepines
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the mixing of sensory messages ex: hearing a taste and smelling a sound
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synthesia
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Hallucinogens
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AKA psychedelics -substances that are capable of creating auditory/visual hallucinations and unusual changes in moods, thoughts, and feelings by inhibiting the relay of sensory input. (preventing neurotransmission from occurring) ex: LSD, ecstasy, mescaline, psilocybin, and ketamine
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-the most notorious hallucinogen -most common form is in blotter act -produces euphoria as well as dysphoria -shortens attention span, causing mind to wander -causes distortions of ordinary perceptions
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LSD
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-street name for MDMA -it's a ''club'' drug -both a stimulant and mild hallucinogen -creates feeling of extreme euphoira, openness/warmth, feelings of love/empathy -enhances sensory experiences and distort perceptions -doesn't create hallucinations
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ecstasy
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-a synthetic substance that became a black market drug in 1970s -was used as an anesthetic -can produce euphoria/dysphoria -produces hallucinations, delusions, and delerium
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PCP
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-derived from peyote cacus -tastes bitter -induces nausea and vomiting -illegal except for use in Native American church
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mescaline
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active chemicals found in groups of mushrooms
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psilocybin
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products that are sniffed/inhaled to produce high -legal
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inhalants
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anabolic steroids
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artificial forms of testosterone that promote muscle growth/strength
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ergogenic drugs
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substances believed to enhance athletic performance
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the process of freeing a drug user from an intoxicating or addictive substance in the body or from dependence on such a substance
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detoxification
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Effects of steroids
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-produces euphoria, diminished fatigue, and increased bulk/power -causes mood swings, acne, hypertension, and increased cholesterol levels
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-causes hallucinations, as it inhibits the relay of sensory input. The brain fills the resulting void with visions, dreams, memories, and sensory distortions
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Ketamine
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Alcohol and marijuana are both
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Depressants. They are both sedative . Provide relaxed,euphoric feelings, mood elevation,drowsiness, sedation -Both lead to impaired judgment and decreased inhibitions (for some) -Both can result in "hangover" feelings following heavy use
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Even though marijuana is a depressant it can increase heart rate
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True
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Alcohol should never be taken with other sedatives
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True
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Addiction traditionally based on four criteria:
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1) Relief of withdrawal symptoms 2) Continued use despite harm to self and others 3) Unsuccessful efforts to cease using or cut down on use, including relapse 4) Tolerance
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-Stimulate the mind & body in many ways -Increased heart rate, mental ability, endurance, alertness, physical ability, sex drive, pain tolerance, metabolism -Decreased hunger, fatigue, desire to sleep, inhibitions -Withdrawal symptoms range from minor headaches, severe cravings for drug, inability to function, inability to derive pleasure from ordinary activities without the drug, exhaustion, depression -Adverse effects: Risk of stroke, seizures, heart disease (including sudden cardiac arrest), kidney failure, skin lesions, wasting, decreased immunity, tooth decay, psychosis. -Examples: Cocaine, speed, crystal meth (crystal, "Tina", "T" Tweak) , caffeine, nicotine, methamphetamine, etc
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stimulants (uppers)
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-Slow down the mind & body -Increase sense of pleasure, well being & euphoria. -Decrease pain, respiration, feelings of threat or worry; slows bowel movements (constipation) -withdrawal symptoms can be severe but typically not life-threatening: vomiting, increased sensitivity to pain, insomnia, diarrhea, muscle/abdominal cramps, flu-like symptoms -risk of lethal overdoes is high for first time and veteran users
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Opioids
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alcohol poisoning
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Excessive alcohol can depress nerves that control involuntary actions such as breathing and the gag reflex (which prevents choking). A fatal dose of alcohol will eventually stop these functions -symptoms: vomiting and choking on own vomit, seizures, slow/irregular breathing, hypothermia (low body temp), mental confusion
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This group of drugs can cause users to experience spiritual enlightening or very important-seeming events during hallucinations, departure from reality, altered state. -May lead to extremely unpleasant images/experience (bad trip). Users may exercise poor judgment (resulting in injuries/death), confusion, disorientation, temporary (and in rare cases, long-term) psychosis
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hallucinogens
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Focuses on minimizing hazardous effects of behavior -Negotiates rather than dictates solutions -Seeks to preserve human dignity of user -Meets users where they are at: support groups, education, behavior modifications
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harm reduction
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Effective for highly addictive substances and substances that can be harmful to quit too quickly -regulated dosing -safer formulation of chemical -not necessarily harm-free
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drug replacement therapy
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What are some new nicotine products? (alternatives to cigarettes)
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-Camel dissolvable sticks/strips -nicotine lozenges (i.e. verve) -camel snus (split-less pouch, juice can be swallowed) -nicotine water -nicogel (take single press of gel and rub it into skin)
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What are some nicotine replacement products?
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-Zonnic -hookah/e-hookah -e-cigarettes -aerosol generating heating mechanism used with specially designed cigarettes -format of a conventional cigarette lit using a normal lighter -uses chemical reaction to generate nicotine containing aerosol
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E-cigarettes work by
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vaporizing liquid nicotine
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-doesn't just contain harmless h20 vapor -contains nicotine/variability (extracted from real tobacco; few synthetics), volatile organic compounds, tobacco specific carcinogens, propylene glycol, heavy metals/silicate particles, second-hand vaping
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e-cigarettes
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FDA approved means that
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-it's clinically proven safe/effective ex: nicotine gum, patch, lozenge, inhaler
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-using medication or counseling increases the long-term quit rate (20% each respectively) -using medicating AND counseling dramatically increases the long term quit rate (40%)
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-using medication or counseling increases the long-term quit rate (20% each respectively) -using medicating AND counseling dramatically increases the long term quit rate (40%)
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Addiction triangle
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-addiction can be emotional, physical, or a habit so treatments should address those things
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Benefits of quitting smoking
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after 20 min: -BP,pulse rate, body temp drop to normal after 8 hrs: -CO lvl in blood drops to normal, O2 level in blood increases to normal -after 24 hrs -chance of heart attach decrease -Long term: more energy, decreased risk of coronary heart disease, lung cancer,
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drug
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any substance that changes mental state or bodily function
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Ways drugs can be introduced to the body
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-few drugs dissolve so well in fatty membranes of cells that when they're rubbed on the skin, they travel through all skin layers, through capillaries into bloodstream (inunction) -apply drugs to mucous membranes. (snorting, sniffing )mucous membranes are much thinner and capillaries are closer to the surface -hypodermic needle to inject drug into a vein, muscle, beneath the skin -inhaling drugs into lungs (smoking) -swallow the drugs (oral ingestion)
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slowest way of getting drugs into body
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oral ingestion
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fastest way of getting drug into body
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intravenous injection and then inhalation
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What types of personalities are believed to be at a greater risk for drug abuse?
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-people with OCD -people who are risk-taking and adventurous
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2 kinds of life experiences more likely found in lives of substance abusers
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-they're more likely to have grown up in a family with a substance abusing parent -they have history of physical.emotion abuse from parent
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risk factors for addiction
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unstable family/work, family history of substance abuse (genetics), hangout out with people who do drugs, mental health, personality, life experiences
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