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
Q

Medications used for ETOH Withdrawal

A

Benzos: lorazepam, diazepam, chlordiazepoxide
Phenobarbital for pts addicted to benzos
Vitamins

25
Q

Naltrexone (Vivitrol)

A

Extended Release IM Injection
Prevents relapse and alcohol cravings

26
Q

Disulfiram

A

Aversion Therapy
Inhibits drinking by causing sickness in the presence of all alcohol
*avoid hidden alcohols

27
Q

Trousseaus Sign , ph: 7.5, tingling, hypoxemia

A

Metabolic Alkalosis

28
Q

pH: 7.21, Kussmaul Respirations, Bicarb: 21, GI Issues

A

Metabolic Acidodosis

29
Q

+chvosteks sign, tingling, HA, dysrhythmias, tetany

A

Respiratory Alkalosis

30
Q

Hypoventilation, Decreased LOC, pH: 7.31, hypotension, confusion

A

Respiratory Acidosis