Alcohol and other substance abuse Flashcards
What is alcohol?
Depressant
Alcohol
Stage 1
Mild tremor
Nervous Nausea
Alcohol
Stage 2
Increased tremor Hyperactive Nightmare Disorientation Hallucinations Increased HR and BP
Alcohol
Stage 3
Most dangerous !!!
Severe halucinations (visual and kinesthetic)
Grand mal seizures
Alcohol
Stage 2 and 3 are?
DT (withdrawal delirium)—-Keep light on
Alcohol
Stage 1 and 2 are?
Walk and talk to the
Alcohol tx
Don’t be afraid to give what?
Anxiolytics
Alcohol tx- Anxiolytics
Remember client has tolerance to alcohol and a cross-tolerance to ?
Other CNS depressants
Alcohol tx- Anxiolytics
The client can handle meds how often
Every 2 hours
Alcohol tx- Anxiolytics
What should be prevented
DT
Alcohol tx- Anxiolytics
Client is very ___ during episode
Frightened
Alcohol tx- Detox protocol
Usually includes?
Thiamine injections
Multivitamins
Perhaps mag
Alcohol- Complications
Chronic problems are caused by?
Thiamine/niacin deficiencies (B vits)
Alcohol- Complications
What is Korsakoff syndrome?
Disoriented to time; confabulate
Alcohol- Complications
What is Wernicke’s syndrome?
Emotions labile, moody, tire easily