15: Substance Use Disorder Treatment Drugs
- Page ID
- 90329
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\(\newcommand{\avec}{\mathbf a}\) \(\newcommand{\bvec}{\mathbf b}\) \(\newcommand{\cvec}{\mathbf c}\) \(\newcommand{\dvec}{\mathbf d}\) \(\newcommand{\dtil}{\widetilde{\mathbf d}}\) \(\newcommand{\evec}{\mathbf e}\) \(\newcommand{\fvec}{\mathbf f}\) \(\newcommand{\nvec}{\mathbf n}\) \(\newcommand{\pvec}{\mathbf p}\) \(\newcommand{\qvec}{\mathbf q}\) \(\newcommand{\svec}{\mathbf s}\) \(\newcommand{\tvec}{\mathbf t}\) \(\newcommand{\uvec}{\mathbf u}\) \(\newcommand{\vvec}{\mathbf v}\) \(\newcommand{\wvec}{\mathbf w}\) \(\newcommand{\xvec}{\mathbf x}\) \(\newcommand{\yvec}{\mathbf y}\) \(\newcommand{\zvec}{\mathbf z}\) \(\newcommand{\rvec}{\mathbf r}\) \(\newcommand{\mvec}{\mathbf m}\) \(\newcommand{\zerovec}{\mathbf 0}\) \(\newcommand{\onevec}{\mathbf 1}\) \(\newcommand{\real}{\mathbb R}\) \(\newcommand{\twovec}[2]{\left[\begin{array}{r}#1 \\ #2 \end{array}\right]}\) \(\newcommand{\ctwovec}[2]{\left[\begin{array}{c}#1 \\ #2 \end{array}\right]}\) \(\newcommand{\threevec}[3]{\left[\begin{array}{r}#1 \\ #2 \\ #3 \end{array}\right]}\) \(\newcommand{\cthreevec}[3]{\left[\begin{array}{c}#1 \\ #2 \\ #3 \end{array}\right]}\) \(\newcommand{\fourvec}[4]{\left[\begin{array}{r}#1 \\ #2 \\ #3 \\ #4 \end{array}\right]}\) \(\newcommand{\cfourvec}[4]{\left[\begin{array}{c}#1 \\ #2 \\ #3 \\ #4 \end{array}\right]}\) \(\newcommand{\fivevec}[5]{\left[\begin{array}{r}#1 \\ #2 \\ #3 \\ #4 \\ #5 \\ \end{array}\right]}\) \(\newcommand{\cfivevec}[5]{\left[\begin{array}{c}#1 \\ #2 \\ #3 \\ #4 \\ #5 \\ \end{array}\right]}\) \(\newcommand{\mattwo}[4]{\left[\begin{array}{rr}#1 \amp #2 \\ #3 \amp #4 \\ \end{array}\right]}\) \(\newcommand{\laspan}[1]{\text{Span}\{#1\}}\) \(\newcommand{\bcal}{\cal B}\) \(\newcommand{\ccal}{\cal C}\) \(\newcommand{\scal}{\cal S}\) \(\newcommand{\wcal}{\cal W}\) \(\newcommand{\ecal}{\cal E}\) \(\newcommand{\coords}[2]{\left\{#1\right\}_{#2}}\) \(\newcommand{\gray}[1]{\color{gray}{#1}}\) \(\newcommand{\lgray}[1]{\color{lightgray}{#1}}\) \(\newcommand{\rank}{\operatorname{rank}}\) \(\newcommand{\row}{\text{Row}}\) \(\newcommand{\col}{\text{Col}}\) \(\renewcommand{\row}{\text{Row}}\) \(\newcommand{\nul}{\text{Nul}}\) \(\newcommand{\var}{\text{Var}}\) \(\newcommand{\corr}{\text{corr}}\) \(\newcommand{\len}[1]{\left|#1\right|}\) \(\newcommand{\bbar}{\overline{\bvec}}\) \(\newcommand{\bhat}{\widehat{\bvec}}\) \(\newcommand{\bperp}{\bvec^\perp}\) \(\newcommand{\xhat}{\widehat{\xvec}}\) \(\newcommand{\vhat}{\widehat{\vvec}}\) \(\newcommand{\uhat}{\widehat{\uvec}}\) \(\newcommand{\what}{\widehat{\wvec}}\) \(\newcommand{\Sighat}{\widehat{\Sigma}}\) \(\newcommand{\lt}{<}\) \(\newcommand{\gt}{>}\) \(\newcommand{\amp}{&}\) \(\definecolor{fillinmathshade}{gray}{0.9}\)- 15.0: Introduction
- This page discusses substance use disorders as a major public health concern, highlighting the pivotal role of nurses in prevention, identification, and treatment. It defines substance use disorders, focuses on recognizing affected individuals, and reviews management strategies, including both nonpharmacologic treatments and medications for opioid, alcohol, and nicotine use disorders.
- 15.1: Introduction to Substance Use Disorders
- This page introduces substance use disorders (SUDs), defining key terms such as intoxication, physical dependence, and psychological dependence, and noting their prevalence and health consequences in the U.S. It highlights concepts like tolerance and withdrawal, the complexities of treatment, and the necessity for a multidisciplinary approach.
- 15.2: Opioid Use Disorder Drugs
- This page provides an overview of opioid use disorder (OUD), including its pathophysiology, prevalence, and treatment options, emphasizing the importance of education on overdose and withdrawal management. The administration of methadone for OUD is discussed, focusing on its long half-life and role in pain management, as well as important nursing implications.
- 15.3: Alcohol Use Disorder Drugs
- This page provides an overview of alcohol use disorder (AUD), detailing its pathophysiology, health impacts, clinical manifestations, and treatment options. It focuses on various medications for managing AUD, including chlordiazepoxide, lorazepam, and disulfiram, discussing their mechanisms, dosages, adverse effects, and contraindications.
- 15.4: Nicotine Use Disorder Drugs
- This page covers nicotine use disorder (NUD), highlighting its high addiction rates, withdrawal symptoms, and treatment challenges. It emphasizes key treatments such as bupropion, nicotine replacement therapy (NRT), and varenicline, each with unique effects on cravings and withdrawal management. The page details adverse effects and contraindications, underlining the need for thorough client education and monitoring.
- 15.5: Chapter Summary
- This page covers substance use disorders, focusing on opioid, alcohol, and nicotine management strategies. It differentiates between substance use and dependence, underscoring that not all tolerance indicates a disorder. It discusses opioid medications for withdrawal and relapse prevention, highlights naloxone for overdoses, emphasizes withdrawal management for alcohol due to risks, and outlines smoking cessation options like bupropion and nicotine replacement therapies to curb cravings.
- 15.6: Key Terms
- This page covers essential concepts in substance use and addiction, including definitions of abuse deterrence, addiction, and substance use disorder. It highlights cognitive behavioral therapy as a treatment approach and discusses key issues such as withdrawal symptoms, dependence, intoxication effects, and tolerance. Additionally, it explores treatment strategies like direct observed therapy, emphasizing the complexities and challenges of managing substance-related issues.
- 15.7: Review Questions
- This page addresses substance use disorders, detailing withdrawal symptoms, psychological dependence, and treatment strategies. It emphasizes the evaluation and management of opioid and alcohol-related issues, notably through medications such as naloxone, buprenorphine-naloxone, and disulfiram.