Alcohol and Drug abuse

Question 1

Wernicke Korsakoff Syndrome

Answer 1

• psychosis induced by vitamin b1(thiamine) deficiency in alcoholics that causes brain damage
• s/s: amnesia and confabulation (making up stories)
• irreversible, preventable condition
• don’t have to stop drinking just take thiamine

don’t reorient to reality, redirect them to want they can do

Question 2

Disulfiram, onset and duration and antidote, things to avoid

Answer 2

• alcohol deterrent
• take two weeks to start and stop working
• antidote: naltrexone
• cologne, perfume, hand sanitizer, insect repellent, elixir, aftershave, vanilla extract (can’t have unbaked icing)

Question 3

5 types of Uppers

Answer 3

• cocaine
• caffeine
• PCP/LSD
• Methamphetamines
• ADderall (ADD)

Question 4

S/E of uppers

Answer 4

everything goes up
euphoria, tachycardia, borborygmi, diarrhea, hyperreflexia, seizures, Irritability

Question 5

S/E of downers

Answer 5

everything goes down
constipation, lethargic, respiratory depression

Question 6

Highest priority for upper and downers:

Answer 6

upper: suctioning from seziures
downer: intubation from resp distress

Question 7

Withdrawal from an upper

Answer 7

everything goes down

Question 7

Withdrawal from a downer

Answer 7

everything goes up

Question 8

drug abuse in newborn

Answer 8

less than 24 hours after birth: intoxication
after 24 hrs: withdrawal

Question 9

Alcohol withdrawal

Answer 9

occurs within 24 hours after drinking
*alcohol withdrawal always comes before delirium tremens but delirium tremors doesn’t always follow aw
- non life threatening- no restrictions
Treat: anti- HTN, thiamine and tranqulizer

Question 10

Delirium Tremens

Answer 10

Occurs after 72 hours after drinking
- life threatening to self and others
- NPO (seizures) or clear liquid
- Private room near, nurses station
- restricted bed rest, no bathroom
- Restraints ( vest or two point) - opposite arm and leg switch q2hr

Treat: anti- HTN, thiamine and tranqulizer