CM Test 2 Flashcards

1
Q

What is Cue- Salience?

A

Cues/ Triggers that result in a relapse

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2
Q

Naltrexone (Trexan)

A

Reduces alcohol cravings

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3
Q

Campral

A

Suppresses alcohol cravings

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4
Q

HCO3

A

bicarbonate

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5
Q

Avolition

A

Lack of Motivation

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6
Q

CAGE Assessment

A

Used to identify alcohol abuse in pts.
C: have you ever felt the need to cut down on your drinking?
A: Have people annoyed you by criticizing your drinking?
G: do you feel guilty when drinking?
E: Eye opener- Do you feel the need to drink first thing in the morning?

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7
Q

Anhedonia

A

Loss of pleasure in things that were previously enjoyed.

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8
Q

Anergia

A

Lack of energy

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9
Q

Metabolic Alkalosis ABG’s

A

pH: greater than 7.45
PCO2: Increased
HCO3: Increased

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10
Q

Metabolic Acidosis ABG’s

A

pH: less than 7.35
PCO2:decreased
HCO3: decreased

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11
Q

Librium

A

Most used MEd for alcohol withdrawal

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12
Q

CIWA

A

Protocol used for pts experiencing alcohol withdrawal
Prevent delirium tremors

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13
Q

pH Range

A

7.35-7.45

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14
Q

PaCO2 Range

A

35-45 mmHg

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15
Q

SaO2

A

less than 95%

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16
Q

PaO2

A

80-100 mmHg

17
Q

Wernicke- Korsakoff Syndrome Cause

A

Vitamin B1 / Thiamine deficiency caused by long term alcoholism

18
Q

Wernicke- Korsakoff Syndrome Effect

A

Memory and Neurological Disturbances

19
Q

Wernicke- Korsakoff Syndrome S/S

A

Ocular disturbance, imbalanced gait and walking, confusion, memory loss

20
Q

HCO3 Range

A

22-26 mEq/l

21
Q

Respiratory Acidosis ABG’s

A

pH: less than 7.35
PCO2: increased
HCO33: increased

22
Q

Respiratory Alkalosis ABG’s

A

pH: greater than 7.45
PCO2: decreased
HCO3: decreased

22
Q

Respiratory Alkalosis ABG’s

A

pH: greater than 7.45
PCO2: decreased
HCO3: decreased

23
Q

Vegetative Signs of Depression

A

Nausea/ Vomiting
Sexual Dysfunction
SOB
Sweating
Changes in body temp

24
Medications used for ETOH Withdrawal
Benzos: lorazepam, diazepam, chlordiazepoxide Phenobarbital for pts addicted to benzos Vitamins
25
Naltrexone (Vivitrol)
Extended Release IM Injection Prevents relapse and alcohol cravings
26
Disulfiram
Aversion Therapy Inhibits drinking by causing sickness in the presence of all alcohol *avoid hidden alcohols
27
Trousseaus Sign , ph: 7.5, tingling, hypoxemia
Metabolic Alkalosis
28
pH: 7.21, Kussmaul Respirations, Bicarb: 21, GI Issues
Metabolic Acidodosis
29
+chvosteks sign, tingling, HA, dysrhythmias, tetany
Respiratory Alkalosis
30
Hypoventilation, Decreased LOC, pH: 7.31, hypotension, confusion
Respiratory Acidosis