NURS 663 Test 4 Review
substance use disorder specifier criteria (Ans-
Mild: 2-3 symptoms
Moderate: 4-5 symptoms
Severe: >6 symptoms
DSM for substance use disorder (Ans- over 12 months use increase amount persistent desire or can't cut down lots of time spent on substance craving failure to fill roles social/personal problems activities given up/reduced use when physically hazardous continue despite problem tolerance withdrawal
abuse (Ans- use of any drug in a manner that deviates from approved social or medial patterns
cross tolerance (Ans- the ability of one drug to be substituted for another each usually
producing the same effects ex: diazepam and barbituates
Misuse (Ans- similar to abuse, but usually applies to drugs prescribed by physicians that are not used properly 1 / 2
tolerance (Ans- after repeated administration, a given dose of a drug produces a decreased effect or larger doses must be administered to obtain the effect observed with the original dose
withdrawal (Ans- a substance specific syndrome that occurs after stopping or reducing the amount of drug or substance that has been used regularly over a prolonged period
acamprosate; what, side effects, dose (Ans- what: alcohol relapse prevention; "artificial alcohol" decreases glutamate and increases GABA
side effects: anxiety, depression, diarrhea, decreased libido, flu like
dose: 666mg TID
must be abstinent from etoh first
buprenorphine; moa, who can use
(Ans- MOA: partial opioid agonist, prevents pleasurable effects, is a opiate
analgesic
who: pregnant okay, must be in mild withdrawal to start
buprenorphine dosing (Ans- must be in withdrawal to start SL 8-32mg/d
which medications are in Suboxone (Ans- buprenorphine and naloxone
buproprion; dosing
(Ans- for smoking cessation: begin 7-14d before stop date; 150mg SR in
am x6 days then increase to 150mg SR BID tx for 7-9 weeks
- / 2