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NCLEX REVIEW > Alcoholism, Dependency > Flashcards

Alcoholism, Dependency Flashcards

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1
Q

The number 1 psychological problem is

A

Denial

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2
Q

If the denial is coming from an abuser?

A
  • Confront them
  • Dont say you say I
  • point out what they say versus what they did
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3
Q

If the denial is caused by death of a loved one

A
  • This is the only situation where denial is acceptable
  • Support them!
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4
Q

What is DABDA

A

Denial, Anger, bargaining, depression, acceptance

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5
Q

The number 2 psychological problem is

A

Dependency or Co-dependency

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6
Q

What is dependency

A

When the dependent (abuser) gets their SO to do things for them

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7
Q

What is Co-dependency

A

When the dependent’s SO derives self-esteem from doing things for the dependent

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8
Q

How to treat dependency

A
  • The abusers are the dependents you mus confront them!
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9
Q

How to treat co-dependency

A
  • The SO is the co-dependent if they gain self esteem for doing things for the abuser.
  • Teach co-dependent pts to set limits and to enforce them
  • Teach them to say NO
    -Work on self-esteem
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10
Q

Manipulation vs Co-dependency

A
  • Co-dependency: what the abuser gets the co-dependent to do does not harm or endanger the co-dependent

-Manipulation: what the abuser gets the co-dependent to do for them puts that person at risk of harm or danger.

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11
Q

Tx: for Manipulation

A

Set limits and enforce
easier to treat this than co-dependency

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12
Q

Werneckie Korsakoff syndrome

A

Wernickie -> encephalpathy
Korsakoff-> psychosis

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13
Q

WK syndrome is induced by what

A

B1 thiamine deficit
- patinet loses touch with reality

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14
Q

Primary s/s of WK syndrome

A

Confabulation and amnesia

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15
Q

Tx for confabulation

A

Redirect the patient tosomething he can actually do

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16
Q

Charactersistics of WK syndrome

A

Preventable, arrestable, and Irreversible

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17
Q

Prevetntion measures

A

Take B1

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18
Q

Arrestable measures

A

Take B1

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19
Q

Antabuse what is it

A

Alcohol Deterrant

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20
Q

Duration and onset of Antabuse

A

2 weeks

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21
Q

Patient teaching for antabuse

A
  • must be off of it for 2 weeks before consuming any alcohol
  • stay away from prodcuts that contain aclohol like mouth wash, vanilla extract
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22
Q

Antidote for antibuse

A

Revia

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23
Q

Every abuse drug is either an

A

Upper or downer

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24
Q

Only abuse drug that is neither is

A

Laxative abuse in Elderly

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25
Q

Top 5 upper drugs to memorize are:

A

Adderall, Caffiene, Cocaine, PCP/LSD, Meth

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26
Q

If its not one of those upper drugs than its a….

A

Downer

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27
Q

S/s of Upper drugs

A

Everything goes up

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28
Q

s/s of downers

A

everything goes down

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29
Q

Highest Priority for uppers

A

Suctioning r/t seizures

30
Q

Highest priority for downers

A

intubation/ ventilation r/t respiratory arrest

31
Q

Overdoes effect on an upper

A

Too much SE!!

32
Q

Overdose effect on downer

A

Too little SE

33
Q

Withdrawal on upper

A

Too little SE

34
Q

Withdrawal on Downer

A

Too much SE

35
Q

If a newborn is less than 24 hours old and the mother has a drug addiction?

A

Always assume intoxication

36
Q

If newborn is older than 24 hours after birth from a drug addicted mother

A

You can assume withdrawal

37
Q

Alcohol Withdrawal Syndrome is not the same as _____________?

A

Delirium Tremens

38
Q

Every alcoholic will go through this 24 hours after last drink

A

AWS

39
Q

Only less than 20% of alcoholics in alcohol withdrawal syndrome will have this

A

DT

40
Q

DT occurs how many hours after last drink?

A

72 hours

41
Q

You can AWS w/o DT but can’t have DT w/o

A

AWS

42
Q

Which one is more dangerous AWS or DT

A

DT

43
Q

Care plan for AWS w/o DTs

A
  • reg diet, up as lib, no restraints semiprivate room anywhere on unit
44
Q

Care plan for AWS w/ DTs

A
  • NPO or clear liquids, bed rest, private room near nursing station, restraints (2-point or vest)
45
Q

2 point restraints postion

A

restraints in 1 upper and 1 contralateral LE.

46
Q

Release what first in a 2 pont?

A

Release and secure upper arm first and then foot

47
Q

How often are to change restraint postition for 2 point?

A

q2hr

48
Q

What type of meds are given for both DT and AWS w/o DTs

A

Thiamine (B1), anti-HTN med, tranquilizer

49
Q

What are the big guns of Abx?

A

Aminoglycosides

50
Q

when are aminoglycosides used?

A

To treat serious resistant, life-threatening, gram neg infections!

51
Q

All aminoglycosides end in

A

-Mycin

52
Q

Not all drugs that end in-Mycin are?

A

Aminoglycosides
- Azithromycin, Clarithromycin Erythromycin
THRow these out!

53
Q

Two most common toxic effects from aminoglycides

A
  • ototoxicity and nephrotoxicity
54
Q

To watch for ototoxicity monitor for

A

Hearing (ringing of ears) and balance

55
Q

To monitor for nephrotoxicity

A

Check creatinine

56
Q

Most effective lab measyrement for kidneys

A

24 Hour serum creatinine

57
Q

the 8 trick with aminoglycosides

A
  • they adminstered q8hr
  • they are toxic to CN8
58
Q

Mean old mycins are given what route

A

IV or IM not usually PO

59
Q

When are the only times amingoglycosides are given

A
  • hepatic encephalpathy
    -Pre-op bowel surgery to sterilize gut
60
Q

If absorbed PO is aminoglycosides more toxic or less than any other route

A

Less because it stays in gut no systemic effects

61
Q

What two meds sterlize the bowel

A

Neomycin and kanamycin

62
Q

The TAP method

A

-Draw trough beofre administration
-Draw peak after drug admin

63
Q

The TAP method is useful in with meds that have a _______therapeutic window.

A

Narrow

64
Q

When to draw a trough before next admin time for drug

A

always 30 min before

65
Q

rawing peaks depend on what versus troughs

A

route

66
Q

Drawing a SubL Peak

A

5-10 mins after drug is dissolved

67
Q

Drawing a IV peak

A

15-30 mins after drug is finshed so after bag is empty

68
Q

Drawing an IM peak

A

30-60 mins after

69
Q

The same drug given by 2 diff routes at same time will have

A

Different peaks

70
Q

If 2 diff meds are given same route they will

A

have same peaks

NCLEX REVIEW (6 decks)

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