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NCLEX Mark K > Alcoholism > Flashcards

Alcoholism Flashcards

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1
Q

Number 1 problem in any abuse ( child abuse, gambling, spousal)

A

Denial

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2
Q

How do you respond/treat a patient in denial

A

Confront

Point out difference between what they say and what they do

Focus on “I” statements not “You” statements

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3
Q

Dont confront in Denial from Loss/Death

What are the stages of greif

A

Denial, Anger, Bargaining, Depression, Acceptance

DABDA

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4
Q

The 2nd biggest psych problem is…

A

Dependency or Co-dependency

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5
Q

(Dependeny / Codependency)

When the abuser has the significant other do things for them. Ie. Get alcohol, call their boss

Which one is dependent?
The abuser or the sign other

A

Dependency

Abuser is Dependent

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6
Q

(Dependeny/ Codependency)

When the significant other derives self-esteem from doing things or making decisions for the abuser

A

Codependency

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7
Q

How to help people who are in Dependent/ Codependent persons

Set ____ & Enforce them

A

Limits

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8
Q

Manipulation

When the abuser gets SO to do things for him that are not in the SO best ____ & are ____

A

INTERST/ Harmful

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9
Q

(Dependency / Manipulation)

Wife ask husband to go to the Hood to buy crack

(Dependency / Manipulation)

Wife ask husband for 10$ to buy crack in the hood

A

Manipulation/ Dependency

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10
Q

Wernicke-Korsakoff syndrome (WKS)
Found in Alcoholics

Describe each

It is a psychosis from lack of….

A

Wernicke: Encephalopathy

Korsakoff: Psycohsis

Vitamin B¹ or Thymine

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11
Q

Name 2 major mental symtpoms with
Wernicke-Korsakoff syndrome (WKS)

A

Confabulation (Making up stories)
Amnesia

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12
Q

Wernicke-Korsakoff syndrome (WKS)

How to deal with patients like this.

A

Redirect

Never confront

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13
Q

On boards

If a disease is 90% fatal do you describe it as (fatal or nonfatal)

A

Fatal

Always go with the majority

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14
Q

Disulfarim is (this type of medicine)

A

Antabuse

It can treat problem drinking by creating an unpleasant reaction to alcohol.

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15
Q

Aversion therapies goal is to

A

Make the person hate that particular event/ substance

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16
Q

Onset & Duration of effectiveness of: Disulfiram (antabuse)

A

2 weeks.

2 weeks until it is effective &
2 weeks after you stop taking it until you can drink again

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17
Q

Disulfiram (antabuse)

Teach; Avoid

A

Mouthwash
Aftershave
Perfume & Cologne
Insect repellent
OCT: that end in “Elixir”
Alcohol based hand sanitizer
Unbaked Icing: Vanilla Extract

Can they have RED WINE VINIGRETTE?

Yes

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18
Q

Downers cause respitory depression which leads to respitory ____

A

Arrest

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19
Q

With drugs that are abused questions

1st look at _____

2nd look at ____

A

1st if drug is upper or downer

2nd if it’s overdose or withdrawal

20
Q

Withdrawals from

Uppers does…

Downers does…

A

Withdrawal from

Uppers everything goes down

Downers everything goes up

21
Q

Concerning Drugs abuse able

Which 2 situations would you see respitory depression/ arrest

A

Downer overdose

Upper withdrawal

22
Q

Which 2 situations with Drug abusable

Would the there be a risk for seizures

A

Upper overdose

Down withdrawl

23
Q

Always assume (intoxication/ withdrawal) at birth

A

Intoxication

24
Q

Always assume (intoxication/ withdrawal) in a baby 24 hrs after birth

A

Withdrawl

25
Q

24 hrs after an alcoholic stops drinking he ALWAYS gets _____

72 hrs later they MAY get _____

A

Withdrawal

DT delirium tremors

26
Q

Alcohol withdrawal syndrome (stable / Unstable)

DT (stable / Unstable)

A

AWS stable

DT Unstable

27
Q

(Alcohol Withdrawal / DT)
Regular Diet
Semi-private room
Up ad lib (Up as they want)
No restrants

(Alcohol Withdrawal / DT)

NPO or clear liquids (seizure)
Private room near nurses station
Restricted bed rest
Restrained (Vest or 2 point “ oppsite arm & leg” lock leathers)

A

Withdrawal/ DT

28
Q

Alcohol Withdrawal & DT

Both get these meds

A

Anti HTN
Tranquilizers
Mulit-vitamin B¹

29
Q

Aminoglycosides = A mean old mycin

Used to treat these kinds of disease

Ends in the suffix

A

Serious infections, Gram-negative

Suffix: Mycin

*Not all drugs end in Mycin are Aminoglycosides

30
Q

Erythromycin, Azithromycin, Clarithromycin

Are examples of…

A

Non Aminoglycosides that end in Mycin

THRO, are weaker and throw them off the list of Aminoglycosides

31
Q

Aminoglycosides Toxic effects (2)

A
  1. Ototoxic (think: Mycin = Mice = Micky Mouse = Ears)

Hearing loss, Tinnitus, Vertigo

  1. Nephrotoxicity
    Measure: Creatinine 24 hr clearance (best choice)
32
Q

Aminoglycosides are toxic to this cranial nerve

And should be given this often

A

CN 8

q8h

33
Q

Route to give Aminoglycosides

A

IM or IV

34
Q

When to give Aminoglycosides orally (2)

Give examples of Aminoglycosides

A

Hepatic Encephalopathy (liver coma)
Aminoglycosides kill bacteria in gut reducing ammonia levels

Preop Bowel Surgery
(Kills all bacteria in bowels)

Aminoglycosides = A mean old mycin
Gentamicin, Tobramycin, Vancomycin, Clindamycin, Streptomycin, Cleomycin
Neomycin

Not Aminoglycosides = THROMYCIN
Azithromycin, Clarithromycin, Erythromycin

35
Q

Neomycin & cannamycin main function is…

A

Sterilize the bowels

36
Q

Narrow Therapeutic Window

1st draw your _____
2nd _____
3rd Draw _____

A

Trough , Administer Drug, Peak

37
Q

Aminoglycosides have a
(Wide / Narrow) therapeutic window
Is it necessary to draw troughs and peaks

A

Narrow
Yes, draw troughs and peaks

38
Q

When to draw a trough before giving a med via any route

A

30min before giving next Dose

39
Q

When do you draw a sublingual peak

A

5- 10 minutes after drug has dissolved

40
Q

When to draw Peak IV

A

15 - 30 minutes after drug is finished

41
Q

When you have to values that are both correct in the same range.

Which one should you select?

A

The higher one

Price is Right

Highest without going over

42
Q

If antidepressants take 2- 4 weeks to work

A client after 1 week complains that they are not working. Which is the correct response

Wait

A. A few more days
B. Wait 1 more week
C. Wait 3 more weeks
D. We will get you a stronger dose

A

C.

Because its the highest value without going over

43
Q

When do draw peak value for IM medicine

A

30 - 60 minutes

44
Q

Wernicke-Korsakoff syndrome (WKS) is….

A

a serious brain condition that combines Wernicke encephalopathy and alcoholic Korsakoff syndrome.

Wernicke encephalopathy: Symptoms include disorientation, confusion, mild memory loss, and difficulty controlling eye movements

Korsakoff amnesic syndrome: A long-term condition that causes confusion and memory loss

45
Q

vestibulocochlear nerve is the _____ cranial nerve.

Responsible for hearing, vestibular portions balance, spatial sensation, and posture.

A

CN 8

Admin Aminoglycosides Q8H

46
Q

Which vitamin do alcoholics lack

A

B1 (thiamine)

NCLEX Mark K (9 decks)

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