Alcohol Abstinence

Question 1

A daily oral medication that is a type of aversion behavioral therapy.

Answer 1

DisulFIRAM (Antabuse)

Question 2

Disulfiram used concurrently with alcohol will cause what syndrome to occur?

Answer 2

Acetaldehyde Syndrome —- alcohol not broken down

Question 3

Name the effects of Acetaldehyde Syndrome.

It can progress to what? ____, ____, ____, _____

Answer 3

Effects include nausea vomiting weakness sweating palpitations/tachycardia and HYPOTENSION
can progress RAPIDLY to respiratory depression cardiovascular suppression seizures and death
Effects last up two weeks

Question 4

Inform the client of?
Avoid
How long does it stay in the system?
Encourage what?

Answer 4

Dangers of drinking any alcohol
Products that contain alcohol (cough syrup, aftershave lotion, mouthwash)
2 weeks following discontinuation.
Wear a medical alert bracelet and participate in a 12 step program.

Question 5

Before starting DisulFIRAM the patient must show?

Answer 5

Motivation to WANT TO QUIT prior to starting

Question 6

What labs to monitor for DisulFIRAM ?

Answer 6

Liver function test to detect hepatotoxicity

Question 7

A pure opioid antagonist that SUPPRESS CRAVING and pleasurable effects of alcohol also used for OPIOD withdrawal

Answer 7

NalTREXone (Vivitrol)

Question 8

Take NalTREXone with _____to reduce ______

2. Assess the clients history to determine if client is dependent on?

Answer 8

Meals, GI distress

2. Dependent on Opiods

Question 9

What med is taken orally three times a day to REDUCE the craving for alcohol?

Answer 9

AcamPROSATE (Campral)

Question 10

Diarrhea may result with this Medication? You want to advise them to maintain adequate fluid intake to prevent dehydration

Answer 10

AcomPROSATE (Campral)

Question 11

Which medication to avoid if pregnancy?

Answer 11

AcamPROSATE (Campral)