Addiction Module 2

Question 1

Signs and symptoms of alcohol withdrawal delirium

Answer 1

-Hallucination, delusions, autonomic nervous system hyperactivity, seizures
-Happen anytime in the first 72 hours
-Delusions and visual and tactile hallucinations
-Autonomic hyperactivity may result in tachycardia, diaphoresis, fever, anxiety, insomnia, and hypertension.

Question 2

Characteristics of codependence

Answer 2

-Supporting the person’s addiction
-Helping them maintain their addiction
-Prohibiting person from negative consequences of addiction AND Getting increased self-worth from doing these things
-Caretaking
-Perfectionism
-Denial
-Poor Communication
-People Pleasing

Question 3

opioid medications

Answer 3

Heroin
Percocet
Morphine
Oxycodone
Meperidine
Codeine
Hydrocodone

Question 4

Treatment medication for OUD

Answer 4

• naloxone (antidote)
• naltrexone (maintenance)
• clonidine (antihypertensive for withdrawal)
• buprenorphine (for withdrawal)

Question 5

Expected time frame for alcohol withdrawal symptoms

Answer 5

• 6-8 hours after the last drink.
• DT within 72 hrs of last drink.

Question 6

Effects and uses of chlordiazepoxide

Answer 6

Used for withdrawal/sedation, decreased anxiety, and blood pressure. Use the CIWA-AR scale to assess dose according to agency policies. Assess for seizures that could lead to delirium tremens (DTs). If not treated, coma and ultimately death.

Question 7

Effects and uses of disulfiram

Answer 7

Maintenance, relapse prevention, aversion therapy/physical effects when alcohol is used: Intense nausea and vomiting, headache, diaphoresis (sweating), flushed skin, dyspnea (respiratory difficulties), and confusion. Avoid all alcohol and substances such as cough syrup and mouthwash containing alcohol.

Question 8

Effects and uses of naltrexone

Answer 8

Withdrawal, relapse prevention, decrease pleasurable feelings and cravings/oral or long-acting (once a month) injectable form. Nausea usually goes away after the first month; headache, sedation. Pain at the injection site, the patient needs to be opiate-free 10 days before initiation of medication.

Question 9

Drug abuse in a coworker

Answer 9

-S/s: Increased patient complaints, more drug wasting, unkempt
-Treatment through license revocation by state board OR peer assistance; tell supervisor but first assess the situation

Question 10

Blood alcohol levels

Answer 10

• > 0.08 - 0.10 is legal intoxication
• > 0.4 is death

Question 11

What are the concepts central to substance abuse?

Answer 11

Addiction
Intoxication
Tolerance
Withdrawal

Question 12

Addiction

Answer 12

Individuals with addictions are unable to consistently abstain from the substance or activity. They are also unwilling or unable to recognize the extent to which the addictions are creating serious problems in functioning, interpersonal relationships, and emotional responses.

Question 13

Intoxication

Answer 13

Individuals who are using substances are considered to be under the influence, intoxicated, or high.

Question 14

Tolerance

Answer 14

When a person no longer responds to the drug in the way that the person initially responded

Question 15

Withdrawal

Answer 15

Physiological symptoms that occur when a person stops using a substance.

Question 16

Alcohol detoxification

Answer 16

• Prevent delirium tremens w/ chlordiazepoxide or diazepam
• Treat with lorazepam or seclusion (quiet environment)