Alcoholism Flashcards
Number 1 problem in any abuse ( child abuse, gambling, spousal)
Denial
How do you respond/treat a patient in denial
Confront
Point out difference between what they say and what they do
Focus on “I” statements not “You” statements
Dont confront in Denial from Loss/Death
What are the stages of greif
Denial, Anger, Bargaining, Depression, Acceptance
DABDA
The 2nd biggest psych problem is…
Dependency or Co-dependency
(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
Dependency
Abuser is Dependent
(Dependeny/ Codependency)
When the significant other derives self-esteem from doing things or making decisions for the abuser
Codependency
How to help people who are in Dependent/ Codependent persons
Set ____ & Enforce them
Limits
Manipulation
When the abuser gets SO to do things for him that are not in the SO best ____ & are ____
INTERST/ Harmful
(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
Manipulation/ Dependency
Wernicke-Korsakoff syndrome (WKS)
Found in Alcoholics
Describe each
It is a psychosis from lack of….
Wernicke: Encephalopathy
Korsakoff: Psycohsis
Vitamin B¹ or Thymine
Name 2 major mental symtpoms with
Wernicke-Korsakoff syndrome (WKS)
Confabulation (Making up stories)
Amnesia
Wernicke-Korsakoff syndrome (WKS)
How to deal with patients like this.
Redirect
Never confront
On boards
If a disease is 90% fatal do you describe it as (fatal or nonfatal)
Fatal
Always go with the majority
Disulfarim is (this type of medicine)
Antabuse
It can treat problem drinking by creating an unpleasant reaction to alcohol.
Aversion therapies goal is to
Make the person hate that particular event/ substance
Onset & Duration of effectiveness of: Disulfiram (antabuse)
2 weeks.
2 weeks until it is effective &
2 weeks after you stop taking it until you can drink again
Disulfiram (antabuse)
Teach; Avoid
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
Downers cause respitory depression which leads to respitory ____
Arrest
With drugs that are abused questions
1st look at _____
2nd look at ____
1st if drug is upper or downer
2nd if it’s overdose or withdrawal
Withdrawals from
Uppers does…
Downers does…
Withdrawal from
Uppers everything goes down
Downers everything goes up
Concerning Drugs abuse able
Which 2 situations would you see respitory depression/ arrest
Downer overdose
Upper withdrawal
Which 2 situations with Drug abusable
Would the there be a risk for seizures
Upper overdose
Down withdrawl
Always assume (intoxication/ withdrawal) at birth
Intoxication
Always assume (intoxication/ withdrawal) in a baby 24 hrs after birth
Withdrawl
24 hrs after an alcoholic stops drinking he ALWAYS gets _____
72 hrs later they MAY get _____
Withdrawal
DT delirium tremors
Alcohol withdrawal syndrome (stable / Unstable)
DT (stable / Unstable)
AWS stable
DT Unstable
(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)
Withdrawal/ DT
Alcohol Withdrawal & DT
Both get these meds
Anti HTN
Tranquilizers
Mulit-vitamin B¹
Aminoglycosides = A mean old mycin
Used to treat these kinds of disease
Ends in the suffix
Serious infections, Gram-negative
Suffix: Mycin
*Not all drugs end in Mycin are Aminoglycosides
Erythromycin, Azithromycin, Clarithromycin
Are examples of…
Non Aminoglycosides that end in Mycin
THRO, are weaker and throw them off the list of Aminoglycosides
Aminoglycosides Toxic effects (2)
- Ototoxic (think: Mycin = Mice = Micky Mouse = Ears)
Hearing loss, Tinnitus, Vertigo
- Nephrotoxicity
Measure: Creatinine 24 hr clearance (best choice)
Aminoglycosides are toxic to this cranial nerve
And should be given this often
CN 8
q8h
Route to give Aminoglycosides
IM or IV
When to give Aminoglycosides orally (2)
Give examples of Aminoglycosides
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
Neomycin & cannamycin main function is…
Sterilize the bowels
Narrow Therapeutic Window
1st draw your _____
2nd _____
3rd Draw _____
Trough , Administer Drug, Peak
Aminoglycosides have a
(Wide / Narrow) therapeutic window
Is it necessary to draw troughs and peaks
Narrow
Yes, draw troughs and peaks
When to draw a trough before giving a med via any route
30min before giving next Dose
When do you draw a sublingual peak
5- 10 minutes after drug has dissolved
When to draw Peak IV
15 - 30 minutes after drug is finished
When you have to values that are both correct in the same range.
Which one should you select?
The higher one
Price is Right
Highest without going over
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
C.
Because its the highest value without going over
When do draw peak value for IM medicine
30 - 60 minutes
Wernicke-Korsakoff syndrome (WKS) is….
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
vestibulocochlear nerve is the _____ cranial nerve.
Responsible for hearing, vestibular portions balance, spatial sensation, and posture.
CN 8
Admin Aminoglycosides Q8H
Which vitamin do alcoholics lack
B1 (thiamine)
