Substance Abuse and Addictive Behaviors Interactive Powerpoints.pptx

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Substance Abuseand AddictiveBehaviorsChristina C. Olson, PhD, RNRNSG 1533Fall, 2018
ExemplarsSubstance Abuse/Addictive BehaviorsAlcoholismMaternal/Fetal Cocaine AddictionNeonatal Abstinence Syndrome
SubstanceAbuseDisordersIntoxication—CNS depressant, risk for aspirationWithdrawal—both physiological and cognitiveDelirium (Delirium Tremens)—hand and body tremorsDementia—Effects on CNSAmnesia--forgettingPsychosis—behaviors that are not realisticMood/anxiety disorders-- depressionSexual dysfunctionSleep disorders—Insomnia
SubstanceAbuseNational health problemActual prevalence of substance abuse difficult todetermineDetrimental effectsCosts to business, industryMotor vehicle accidents, fatalitiesPrenatal drug exposureIncrease in violence
ETOHStatshttps://Children of alcoholics are 4 times more likely todevlop problems with alcohol50% of traffic violations involve alcohol20% of suicide victims are alcoholics30% of alcohol related deaths are suicides or relatedaccidents involving alcohol
Effects ofAlcoholismPeripheral neuropathy—vitamin deficiencyAlcohol myopathy—muscle achesWernicke’s encephalopathy—lesions in the brain dueto vitamin deficienciesKorsakoff’s psychosis—amnesia, hallucination,impaired memoryAlcohol cardiomyopathy—due to accumulation oflipidsGI-it is--esophagitisCirrhosis—destruction of the liver cellsBlood dyscrasia—thrombocytopenia, leukopeniaFetal alcohol syndrome—fetal effects of alcoholLegal intoxication—blood level of >0.08
ClinicalCourseFirst episode of intoxication → continuing problemswith alcohol → first blackout → continued drinking →development of tolerance → tolerance break →continued drinking → functioning becoming affected→ periods of abstinence/temporary controlled drinking→ escalation of alcohol intake → more problems →subsequent crisis → continuation of cyclehttps://
EtiologyBiologic factorsGenetic vulnerabilityNeurochemical influencesPsychological factorsFamily dynamicsCoping stylesSocial, environmental factorsCulture, social attitudes, peer behaviorsLaws, cost, availability
CulturalConsiderationsViews variableMuslims: no alcoholJewish: wine an integral part of religious ritesSome Native American tribes: peyote (hallucinogen)Japanese: alcohol not a drugGenetic traits of certain ethnic groups as predisposingto or protective against alcoholismVariations in enzymatic activities among Asians,African Americans, whitesAlcohol abuse: a part in the five leading causes ofdeath for Native Americans
AlcoholCNS depressant: relaxation/loss of inhibitionsVomiting, unconsciousness, respiratory depressionwith overdoseSymptoms of withdrawal

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Tags
cocaine, Benzodiazepine, Substance Abuse

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