Alcohol and Drug Abuse as Encountered in Office PracticeCRC Press, 24. jul. 2020 - 336 sider This book has been written to serve as a manual for physicians practicing in a private office setting to recognize and recommend appropriate treatment for patients believed to be substance abusers. While it is not written for drug abuse specialists, it provides information regarding the diagnosis and treatments a competent, concerned physician can provide without becoming immersed in addiction treatment. Topics discussed include the degree to which a physician should become involved, when it is appropriate to refer, using other professions and volunteer groups, and useful medications. Guidelines for recognizing substance abuse, testing to confirm the abuse, confronting the patient, and motivating the patient into specific treatment are also presented. Tables and illustrations are used to summarize major points, making this an extremely useful reference tool for internists and other non-specialist private practitioners. |
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Side 3
... occur . The setting for withdrawal to occur starts with sufficient regular use of the agent to produce biochemical adaptation or tolerance . In a tolerant person the same amount of drug produces less effect . For some agents this ...
... occur . The setting for withdrawal to occur starts with sufficient regular use of the agent to produce biochemical adaptation or tolerance . In a tolerant person the same amount of drug produces less effect . For some agents this ...
Side 4
... occurs e.g. , Nonfatal doses of ethanol + barbiturate may be fatal in combination 3. Addiction may induce hepatic P - 450 enzymes e.g. , Alcoholism lowers prothrombin levels in patients on coumadin 4. Unrecognized withdrawal produces a ...
... occurs e.g. , Nonfatal doses of ethanol + barbiturate may be fatal in combination 3. Addiction may induce hepatic P - 450 enzymes e.g. , Alcoholism lowers prothrombin levels in patients on coumadin 4. Unrecognized withdrawal produces a ...
Side 5
... occur in the office , the physician can select a level of involvement in the treatment of substance abuse . Almost no physician , however , can completely eliminate involvement with abusing patients , for they are ubiq- uitous . There ...
... occur in the office , the physician can select a level of involvement in the treatment of substance abuse . Almost no physician , however , can completely eliminate involvement with abusing patients , for they are ubiq- uitous . There ...
Side 11
... occurred repeatedly over a longer period of time . FIGURE 1A . Diagnostic criteria for psychoactive substance dependence . ( From American Psychiatric Association , Diagnostic and Statistical Manual of Mental Disorders , 3rd ed . , rev ...
... occurred repeatedly over a longer period of time . FIGURE 1A . Diagnostic criteria for psychoactive substance dependence . ( From American Psychiatric Association , Diagnostic and Statistical Manual of Mental Disorders , 3rd ed . , rev ...
Side 14
... occur . In some cases the receptor internalizes the molecule and transports it within the cell to the site where it ... occurs near receptors ( synapse is the name of the releasing site and the receptor when closely approximated ) , and ...
... occur . In some cases the receptor internalizes the molecule and transports it within the cell to the site where it ... occurs near receptors ( synapse is the name of the releasing site and the receptor when closely approximated ) , and ...
Indhold
1 | |
7 | |
13 | |
Etiology of Substance Abuse and Similarities in Alcoholism and Drug Abuse ... | 19 |
Essential Pharmacology of Abused Drugs | 25 |
Issues of Law and Custom | 31 |
Attitudes Among Medical Staff That Influence Substance Abuse Care ... | 37 |
Obtaining an Accurate Drug and Alcohol History ... | 43 |
Hallucinogens and Phencyclidine | 161 |
Miscellaneous Abused Drugs | 169 |
Mixed Drug Abuse | 173 |
Management of Substance Abuse What is Treatment and What Does it Accomplish? ... | 177 |
Drug Withdrawal Recognition and Treatment ... | 185 |
Entering Treatment | 199 |
Professionals and Others Providing Skilled Services to Substance Abuses ... | 207 |
The Range of Treatment and Rehabilitation Programs Factors in the Selection of an Appropriate Program ... | 213 |
Recognizing the Alcoholic or SubstanceAbusing Patient in Your Practice ... | 53 |
Emergencies in Drug and Alcohol Use and Their Management ... | 61 |
Laboratory Screening and Verification of Drug Use ... | 71 |
CostEffective Screening of Addicted Persons for Significant Illness ... | 77 |
Classes of Drugs Needed for the Successful Management of Addictions ... | 83 |
Informing the Patient of the Diagnosis of Abuse and Motivating Him or Her to Treatment ... | 93 |
What Can be Learned from Smoking and Nicotine Addiction ... | 99 |
Alcohol and Sedatives | 105 |
Medical Problems in Alcoholics | 113 |
Psychiatric Problems in Addicts | 127 |
Opium Derivatives | 135 |
Medical Problems Related to Illicit Drugs ... | 145 |
Cocaine and Amphetamines | 151 |
Marijuana | 157 |
Setting and Meeting Realistic Goals for Rehabilitation ... | 223 |
Volunteer Groups in the Treatment of Addictions The Model of Alcoholics Anonymous ... | 229 |
Crises in Treatment | 237 |
Prevention and Pertinent Public Health Issues ... | 245 |
Special Problems of Substance Abuse in Adolescence ... | 251 |
Special Problems in Women Abusers | 257 |
Problems of Addiction During Pregnancy and Problems in the Child ... | 263 |
Children of Alcoholics and Drug Abusers | 271 |
Problems of Alcohol and Drug Use in the Elderly ... | 277 |
Ethnic and Special Social Groups | 285 |
Substance Abuse Among Health Professionals ... | 293 |
Glossary | 297 |
Index | 301 |
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abstinence abused substance abusing patients addiction adolescents agents alcohol abuse alcohol and drug alcohol withdrawal Alcoholics Anonymous American amphetamines assistance associated barbiturates behavior benzodiazepine blood levels cessation Chapter chlordiazepoxide chronic cirrhosis client clinical cocaine common convulsions depression detoxification developed diagnosis diazepam discussed disorders disulfiram dose drinking drug abuse early effects ethanol evaluation excreted fetal alcohol syndrome frequently goals hallucinations hallucinogens haloperidol hepatitis heroin hospital identified increased indicates ingestion injury intoxication intravenous JAMA liver disease Lorazepam major malnutrition marijuana mental metabolism methadone naloxone nicotine occur opiates orally overdose pancreatitis person Phencyclidine phenobarbital physician pregnancy present problems produce Psychiatr psychosis receptors recovery relapse screening sedatives self-help groups smoking sobriety social specific street drugs substance abuse substantial symptoms syndrome Table Taylor & Francis tests therapist therapy tolerance toxic reaction trauma treated urine users usually women