Alcohol and other substance abuse

Question 1

What is alcohol?

Answer 1

Depressant

Question 2

Alcohol

Stage 1

Answer 2

Mild tremor

Nervous Nausea

Question 3

Alcohol

Stage 2

Answer 3

Increased tremor
Hyperactive 
Nightmare
Disorientation
Hallucinations
Increased HR and BP

Question 4

Alcohol

Stage 3

Answer 4

Most dangerous !!!
Severe halucinations (visual and kinesthetic)
Grand mal seizures

Question 5

Alcohol

Stage 2 and 3 are?

Answer 5

DT (withdrawal delirium)—-Keep light on

Question 6

Alcohol

Stage 1 and 2 are?

Answer 6

Walk and talk to the

Question 7

Alcohol tx

Don’t be afraid to give what?

Answer 7

Anxiolytics

Question 8

Alcohol tx- Anxiolytics

Remember client has tolerance to alcohol and a cross-tolerance to ?

Answer 8

Other CNS depressants

Question 9

Alcohol tx- Anxiolytics

The client can handle meds how often

Answer 9

Every 2 hours

Question 10

Alcohol tx- Anxiolytics

What should be prevented

Answer 10

DT

Question 11

Alcohol tx- Anxiolytics

Client is very ___ during episode

Answer 11

Frightened

Question 12

Alcohol tx- Detox protocol

Usually includes?

Answer 12

Thiamine injections
Multivitamins
Perhaps mag

Question 13

Alcohol- Complications

Chronic problems are caused by?

Answer 13

Thiamine/niacin deficiencies (B vits)

Question 14

Alcohol- Complications

What is Korsakoff syndrome?

Answer 14

Disoriented to time; confabulate

Question 15

Alcohol- Complications

What is Wernicke’s syndrome?

Answer 15

Emotions labile, moody, tire easily

Question 16

Alcohol- Other S/s

What neuritis?

Answer 16

Peripheral

Question 17

Alcohol- Other S/s

Problems

Answer 17

Liver and pancrease

Question 18

Alcohol- Other S/s

Sex

Answer 18

Impotence

Question 19

Alcohol- Other S/s

GI

Answer 19

Gastritis

Question 20

Alcohol- Other S/s

Electrolyte loss

Answer 20

Mag and K (due to peeing so much)

Question 21

Alcohol- Other S/s

Defense mechanism

Answer 21

Denial

Rationalization

Question 22

Alcohol- Rehab

Antabuse

Answer 22

Deterrent to drinking

Question 23

Alcohol- Rehab

Client has to sign consent form and must stay away from any form of alcohol, including ?

Answer 23

Cough syrup
Aftershaves
Colognes

Question 24

Alcohol- Rehab

Effective tx

Answer 24

12 step program

Question 25

Alcohol- Rehab

Client must have a relapse prevention plan in place….Explain

Answer 25

Must have support once detox is over

Question 26

Alcohol- Rehab

Family issues emerge once the alcoholic is sober…..so?

Answer 26

All dynamics change and this causes stress

Question 27

Other substance abuse/addiction

Issues are the same..ex?

Answer 27

Intense craving
Difficult to quit
Many attempts to quit
Fatal if untreated
Use denial and rationalization
Client life controlled by drug

Question 28

What is an anxiolytic used for outpatient detox?

Answer 28

Chlordiazepoxide