Lecture 2 Alcohol

Question 1

Number one psychological problem in any abusive situation is

Answer 1

DENIAL

Question 2

tx for denial

Answer 2

confrontation

NOT AGGRESSION
never pick answer that attack person
ex. bad answers have bad pronouns “you’
ex good answers have good pronouns ‘i” “we”
ex “i seem to be frustrating you” GOOD

Question 3

tx denial for loss and grief

Answer 3

SUPPORT IT

Question 4

2 psychological problem abuse

Answer 4

dependency
co dependency

Question 5

tx dependency

Answer 5

set limits and enforce it

Question 6

alcoholism wernickes

Answer 6

encephalopathy

Question 7

alcoholism korsakoffs

Answer 7

psychosis

induced by Vit B1 deficiency

AMNESIA - PRIMARY SYMPTOM

Question 8

wernicke’s korsakoff’s tx

Answer 8

redirect !

DO NOT CONFRONT

Question 9

characteristics wernicke’s korsakoffs

Answer 9

Preventable - take Vit B1
It is reversible

Question 10

Disulfiram

Answer 10

aversion therapy - makes patients ill

onset and duration - 2 weeks

avoid all alcohol (mouthwash, perfume, hand sanitizer, red wine vinaigrette)

Question 11

upper (5)

Answer 11

caffeine
cocaine
LSD/PCP
methamphetamines
adderall

Question 12

upper s/s

Answer 12

euphoria
tachy
restless
irritability
diarrhea
hyperreflexia
seize

Question 13

downer

Answer 13

anything not an upper

Question 14

downer s/s

Answer 14

lethargy
respiratory depression

Question 15

Overdose / withdrawl

Answer 15

overdosed upper - upper s/s
overdosed downer - downer s/s

withdrawl upper - downer s/s
withdrawl downer - upper s/s

Question 16

aminoglycosides

Answer 16

powerful abx -mycin

THINK :A MEAN OLD MYCIN
fight a mean old infection
MYCIN = MICE

2 SE:
toxic mice - ears - ototoxic
human ear shaped like kidney - nephrotoxic

adm q8 .. cn 8 (8 like an ear)

Question 17

TAPS drawn

Answer 17

Aminoglycosides
t - 30 min before next dose