Cma Review Flashcards
Enmeshed boundaries
Children making decisions for theirparents
Rigid boundaries
Isolated family members, they don’t work together. members don’t share thoughts or feelings
Predisposing
Genetics, history, family, age, etc
Precipitating
Stressor/ triggers (major surgery) onset of severe medical disorder
Perpetuating
Controllable things. Events that can keep , an illness in motion. Examples are controllable, irregular sleep schedule, alcohol, caffeine
Electro convulsive therapy (ect)
Physiologic is priority - bringing them back. Breathing and reducing aspiration.
What medications for pre ECT
Atropine or glycopyrrolate can be given 30 min before ECT procedure.
Atropine and glycopyrvolate
Can both be used to minimize salary secretions during procedure to prevent aspirations
Propofol
Medication for ECT to help out them to sleep. Anesthetic.
Succinylcholine
Is the preferred muscle relaxant for ECT prevents jerking movement to decrease the risk of injury it also paralyzes respiratory muscles therefore they recur assistance w/ breathing
Procedural care for ECT
Continuous cardio monitoring is occurring throughout procedure. Hypertension control occurs right after procedure. Client receives 100% oxygen during and after. Clients are expected to become alert 15 min following
Post ECT
Memory loss and confusion can occur
Memory loss is retrograde leading up to the procedure.
Most clients do recover
nursing actions is to provide frequent orientation, provide a safe environment to prevent injury
What does ECT treat?
Major depressive disorder
Schizophrenia
Acute mania ( bipolar)
Symptoms of alcohol withdrawal
Abdominal cramping, vomiting
Tremors
Restless, inability to sleep
High HR, BP, RR, TEMP
Hallucinations or illusions
Tonic-clonic seizures
Alcohol withdrawal symptoms start
Within 4-12 hours
Can last 5-7 days
Screening tool for alcohol abuse
AUDIT
To assess alcohol withdrawal
CIWA scale
Delirium can occur how long after alcohol withdrawal
2-3 days
Severe disorientation
Hallucinations
hypertension
cardiac dysrhythmias
What medication for alcohol withdrawal
Benzodiazepines example
Diazepam
Medications for acute alcohol withdrawal
Carbamazepine (can treat tonic seizures) and chlordiazepoxine
Medication to maintain alcohol abstinence
Disulfiram and naltrexone
ADHD meds STIMULANTS
Methylphenidate
Amphetamine salts
Lisdexafetamine
ADHD ANTIDEPRESSANTS
Bupropion
Atomoxetine
ADHD stimulants
Take med on empty stomach
Before breakfast
Take before 4 pm since can cause insomnia
Patches should only be on for 9 hours during the day on hip
Hype potential for substance use, cardiovascular use, and can make an anxiety worse 
