Alcohol and other substance abuse Flashcards

1
Q

What is alcohol?

A

Depressant

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2
Q

Alcohol

Stage 1

A

Mild tremor

Nervous Nausea

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3
Q

Alcohol

Stage 2

A
Increased tremor
Hyperactive 
Nightmare
Disorientation
Hallucinations
Increased HR and BP
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4
Q

Alcohol

Stage 3

A

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

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5
Q

Alcohol

Stage 2 and 3 are?

A

DT (withdrawal delirium)—-Keep light on

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6
Q

Alcohol

Stage 1 and 2 are?

A

Walk and talk to the

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7
Q

Alcohol tx

Don’t be afraid to give what?

A

Anxiolytics

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8
Q

Alcohol tx- Anxiolytics

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

A

Other CNS depressants

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9
Q

Alcohol tx- Anxiolytics

The client can handle meds how often

A

Every 2 hours

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10
Q

Alcohol tx- Anxiolytics

What should be prevented

A

DT

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11
Q

Alcohol tx- Anxiolytics

Client is very ___ during episode

A

Frightened

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12
Q

Alcohol tx- Detox protocol

Usually includes?

A

Thiamine injections
Multivitamins
Perhaps mag

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13
Q

Alcohol- Complications

Chronic problems are caused by?

A

Thiamine/niacin deficiencies (B vits)

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14
Q

Alcohol- Complications

What is Korsakoff syndrome?

A

Disoriented to time; confabulate

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15
Q

Alcohol- Complications

What is Wernicke’s syndrome?

A

Emotions labile, moody, tire easily

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16
Q

Alcohol- Other S/s

What neuritis?

A

Peripheral

17
Q

Alcohol- Other S/s

Problems

A

Liver and pancrease

18
Q

Alcohol- Other S/s

Sex

A

Impotence

19
Q

Alcohol- Other S/s

GI

A

Gastritis

20
Q

Alcohol- Other S/s

Electrolyte loss

A

Mag and K (due to peeing so much)

21
Q

Alcohol- Other S/s

Defense mechanism

A

Denial

Rationalization

22
Q

Alcohol- Rehab

Antabuse

A

Deterrent to drinking

23
Q

Alcohol- Rehab

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

A

Cough syrup
Aftershaves
Colognes

24
Q

Alcohol- Rehab

Effective tx

A

12 step program

25
Q

Alcohol- Rehab

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

A

Must have support once detox is over

26
Q

Alcohol- Rehab

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

A

All dynamics change and this causes stress

27
Q

Other substance abuse/addiction

Issues are the same..ex?

A
Intense craving
Difficult to quit
Many attempts to quit
Fatal if untreated
Use denial and rationalization
Client life controlled by drug
28
Q

What is an anxiolytic used for outpatient detox?

A

Chlordiazepoxide