Ch 17 Substance And Additive Disorders Flashcards
What defense mechanism is most common among clients with a substance use disorder
Denial
What culture has a higher incidence of substance use disorder
Native Americans
What culture has the least amount of substance use disorders
Asians
What drug is a growing concern among adolescents
Anabolic steroids
Name nervous system depressant drugs
Alcohol
Sedatives/ hypnotics
Cannabis
What is the intended effects of alcohol
Relaxation
Decreased social anxiety
Stress reduction
What are the effects of alcohol intoxication
Slurred speech, nystagmus, altered judgment, decreased LOC
respiratory arrest,
What are manifestations of alcohol withdrawal
Abdominal cramping
Vomiting, tremors, akathisia, tachycardia, increased BP & RR
Tonic clonic seizures
What are withdrawal manifestations of sedatives/ hypnotics
Anxiety, insomnia, diaphoresis, htn, n/v
Hallucinations/ delusions
Agitation
What are withdrawal manifestations of hallucinogens
Hallucinogen persisting perception disorder- visual disturbances or flashbacks can occur intermittently for years
What are mess for alcohol withdrawal
Diazepam Lorazepam Carbamazepine Clonidine Chlordiazepoxide
What are meds for alcohol abstinence
Disulfiram
Naltrexone
Acomprosate
What are meds for opioid withdrawal
Methadone ( Dolophine)
Substitution
Clonidine
Buphrenorphine ( subcutex)
A nurse is assessing a client with benzodiazepine withdrawal, what is the priority nursing intervention
Implement seizure precautions
What is the severity scale for substance use disorder
0-1 no diagnosis
2-3 mild disorder
4-5 moderate disorder
6 or more severe disorder
What are signs and symptoms of heroin toxicity
Constricted pupils
Decreased BP
What are signs and symptoms of cocaine intoxication
Tachycardia
Increased BP
Dilated pupils
Agitation
What are signs and symptoms of benzodiazepine intoxicity
Decreased BP
What are signs and symptoms of inhalant toxicity
CNS depressant
What is the criteria for hospitalization for weight loss
30% of body weight in 6 months
Potassium levels of what requires hospitalization
Less than 3
What is the antidote for benzodiazepine toxicity
Flumazenil ( Romazicon )
Is there a antidote for barbiturate toxicity
NO
What is considered to be a legally intoxicating limit for alcohol
0.08%
What are considered sedative/ hypnotic drugs
Benzodiazepines
Barbiturates such as pentobarbital
Name CNS stimulants
Cocaine Amphetamines Tobacco Opioids Inhalants Hallucinogens
Are there withdrawal symptoms with inhalants
NO
What are meds for alcohol withdrawal
Diazepam Lorazepam Carbamezapine Clonidine Chlordiazepoxide
What are meds for alcohol abstinence
Disulfiram
Naltrexone
Acomprosate
What are common side effects of alcohol withdrawal
Fine tremors of both hands
Vomiting
Restlessness
