ADDICTION - prepU Flashcards
Which laboratory level is associated with chronic alcohol use disorder and can lead to Wernicke - Korsakoff Syndrome, which leads to memory impairment?
Thiamine
If a patient is a chronic drinker or has alcohol use disorder and are going through alcohol withdrawal, when do symptoms of withdrawal typically occur?
usually begin within 12 hours of abrupt cessation or or decreased consumption
Inhalant intoxication causes CNS affects, what are some examples? (6)
slurred speech
lack of coordination
unsteady gait
muscle weakness
blurred vision
respiratory depression (acute)
What is the priority intervention for a patient in respiratory depression from an inhalant?
oxygen
Naloxone will have no affect
Which screening tool is used to assess the patients withdrawal severity?
CIWA-Ar (Clinical Institute Withdrawal Assessment for Alcohol)
Which screening tool is used to assess alcohol use patterns?
the CAGE questionnaire
Which medication is used to prevent Wernicke-Korsakoff syndrome?
Thiamine (vitamin B12)
-heroin
-morphine
-codeine
-hydrocodone
These are all _______.
opioids
Cocaine is an example of a stimulant. This will cause hypertension and ________ pupils.
dilated
Heroin and methadone are opioids that will cause _________ pupils.
constricted
will marijuana cause hyper or hypotension?
hypotension
What opioid is a safer substitute to heroin because it’s prescribed by a dr., it’s legal, available in tablet form, has fewer withdrawal symptoms than heroin and doesn’t produce the high that heroin does?
Methadone
physiological affects of long term alcohol use.
-cirrhosis
-pancreatitis
-cardiac myopathy
-Wernicke encephalopathy
-Korsakoff psychosis
-esophagitis
-hepatitis
-leukopenia
-thrombocytopenia
-ascites
The following are the essential features of _______ use. **usually lasting 3-4 hours **
-conjunctival redness
-increased appetite
-dry mouth
-increased heart rate
-high feeling followed by euphoria
-inappropriate laughter
-grandiosity
-lethargy
-impaired short-term memory
-delayed mental processing
-impaired judgement
-distorted sensory perception
-impaired motor function
cannabis
The following changes are associated with _______.
-confusion
-belligerence
-aggression
-apathy
-impaired judgment
-impaired social functioning
-hallucinations
-delusional thinking
-perceptual changes
-dizziness
-visual disturbances
-unsteady gait
-tremors
-euphoria
higher doses can lead to: lethargy, slowed psychomotor response, muscle weakness and stupor
Inhalants
A patient using Methadone may experience nausea and loss of appetite, what education can we give them to help manage this side effect?
-take w/ food
-eat small frequent meals
-lie quietly after taken
-avoid alcohol
What is disulfiram?
this is a medication used to treat alcohol use disorders; if the patient drinks while on this medication it will cause them to be/ feel physically sick - making alcohol consumption less enjoyable
Why is it important to check your beauty products or any products you use and avoid them if they contain alcohol while on Disulfiram?
because this medication is used to treat alcohol use disorders - if the products contain alcohol it will have the same effect as alcohol consumption and cause the patient to feel sick
what is the drug of choice to manage alcohol withdrawal?
Chlordiazepoxide
(brand name: Librium)
Wernicke Encephalopathy is cause by a nutrient deficiency of what 2 things, related to alcohol consumption disorders?
mainly thiamine and folic acid - but other B vitamins as well
