Alcohol Flashcards
what is the #1 issue with abuse? how do you treat it?
- denial
- treat with confronting (point out the difference between what they think and what they do)
what type of denial should not be treated with confrontation? how should it be treated?
- denial r/t loss & grief
- tx: support it
define: dependency r/t abuse
- abuser gets SO to do things for them, abuser is dependent on SO
ex. call my boss for me
define: codependency r/t abuse
- SO derives positive self esteem by doing things or making decisions for the abuser
ex. “I’m a wonderful SO for calling their boss for them”
what is the treatment for dependency/co-dependency
- set limits & boundaries –> teach the SO to say “no”
- increase self-esteem of SO
define: manipulation
- when the abuser gets the SO to do things for them that aren’t in the SO’s best interest
- the nature of the act is dangerous or harmful
what is the key difference between dependency/co-dependency and manipulation
- dependency = neutral acts
- manipulation = harmful to SO & SO doesn’t get + self esteem from it
ex. an alcoholic parent asks their 17 year old daughter to go buy alcohol from them
ex. an alcoholic person asks their 59 year old SO to go buy their alcohol from them
- manipulation (illegal for a 17yo to buy alcohol for them)
- dependency
what is treatment for manipulation
- set limits & enforce “no”
what is wernicke’s and korsakoff
- wernicke’s = encephalopathy
- korsakoff = psychosis
- often occur together, but two separate things
what is wernicke’s and korsakoff induced by?
- vitamin B1 or thiamin deficiency
what are symptoms of wernicke’s and korsakoff
- loss of touch w reality
- amnesia (++ memory loss)
- confabulation (make up stories & believe its their reality)
what is treatment for wernicke’s and korsakoff
- redirect –> rechannel what they want but cannot do, into something they can
ex. the pt believes they need to go to the white house for work, rechannel it into watching the news on what’s happening in the whitehouse
what is a “bad way” to treat wernicke’s and korsakoff
- confront
- agree/disagree
- do not present reality, bc they can’t learn it
what are 3 characteristics of wernicke’s and korsakoff
- preventable
- arrestable
- irreversible
how can wernicke’s and korsakoff be preventable and arrestable
- taking vitamin B1
what is a type of aversion therapy for alcoholism
- disulfuram (antabuse)
how does disulfaram work?
- makes you ++ sick when you consume alcohol
what is the onset of disulfaram
- 2 weeks
what pt teaching should be provided r/t disulfaram
- avoid all forms of alcohol to avoid NV & sickness
- what has alcohol
what items should you teach pts on disulfaram to avoid
- mouthwash
- bug spray
- after shave
- perfume, cologne
- OTC meds that end in ___elixir
- alcohol based hand sanitizer
- uncooked icings (bc of vanilla)
- NOT red wine vinegar
every abused drug is either an…
- upper or down
what are the 5 upper abused drugs
- caffeine
- cocaine
- PSP/LSD
- adderol
- methamphetamines
what are S&S of pt’s using “upper” drugs
(everything goes up)
- euphoria
- restlessness
- irritable
- tachycardia
- diarrhea, borborygmi
- hyperreflexia (+3,+4)
- spastic
- resp. seizu
- seizure
- increased temp
what are examples of “downer” drugs
- anything thats not an upper
ex. dilaudid, morphine sulfate, fentanyl, ativan, barbs, alcohol, marijuana, etc.