L2 C1: Alcoholism Flashcards
Drugs used for Aversion therapy in alcohol abuse
Antabuse & Revia (Disulfiram)
**Onset & Duration is 2 weeks; AVOID alcohol products
Name the 5 UPPER Drugs
C
C
P
M
A
Caffeine
Cocaine
PCP/LSD (psychedelics/hallucinogens)
Methamphetamines
Adderall
Highest priority for an UPPER drug?
Suctioning d/t seizures
Highest priority for a DOWNER drug?
Intubation/Ventilation dt respi arrest
So what two situations would respiratory arrest be a priority?
Overdose of a ______
Withdrawal of a ________
• Overdose of a Downer
• Withdrawal of an Upper
Which pts would seizure be a risk for?
• Overdose of an ______
• Withdrawal of a _____
• Overdose of an Upper
• Withdrawal of a Downers
Always assume ________, (intoxication/withdrawal) in a newborn less than 24 hours after birth.
24 hours or more after birth, you can assume the newborn is in ________ (intoxication/withdrawal)
intoxication
Withdrawal
The #1 psychological problem in alcoholism or any abuse is _____
DENIAL
Respond/treat to pts in denial?
______ = Loss/Grief
______ = Abuse
Support
Confront
when the get the significant other to do things or make decisions for them is ______
The abuser is _______
Dependency
dependent
when the significant other derive self-esteem for doing things or making
decisions for the abuser is _____
The significant other is the______
Co-dependency
Co dependent
• How do you treat dependency/codependency?
o Dependent pts = _____
o Co-dependent pts =______
Confront them
set limits, say No & work on self esteem
It is Psychosis induced by Vitamin B1 (thiamine) deficiency
Wernicke and Korsakoff syndrome
• The primary S/Sx of wernicke and korsakoff syndrome are ____ (memory loss) and ____ (making up stories)
amnesia
confabulation
Alcohol Withdrawal Syndrome
• Occurs ____ after drinking
• _______ to self and others
Nursing Care Plan
• ______ diet
• _______ room
• Pt is _____ ( can roam around?)
•restraints?
after 24 hours
Non-life threatening
Regular
Semiprivate, anywhere on the unit
up ad lib (Pt is free to move around
as desired)
NO restraints
Delirium Tremens
• Occurs ____ after drinking
• _______ to self and others
Nursing Care Plan
• ______ diet
• _______ room
• Pt is _____ ( can roam around?)
•restraints?
after 72 hrs
Life threatening
NPO/clear liquid
Private room, near nursing station
Restricted Bed Rest & NO Bathroom privileges
Vest / 2 points lock letters restraints
Alcohol Withdrawal Syndrome &. Delirium Tremens Treatment?
anti-HTN medication, tranquilizer, multivitamin containing vit B1
