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nclex 3 > OVERDOSE VS. WITHDRAWAL > Flashcards

OVERDOSE VS. WITHDRAWAL Flashcards

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1
Q

In Overdose VS Withdrawal, Ask yourself?

A

Is this drug an upper or a downer?

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2
Q

What are the 6 uppers?

A
  1. )Caffeine,
  2. )Cocaine,
  3. )Methamphetamines-speed
  4. )PCP/LSD
  5. )ADHD Meds-adderrall/Ritalin
  6. )Bath Salts
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3
Q

Downers are?

A

heroin, alcohol, marijuana,

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4
Q

10 S/S of upper use?

A 
Everything goes up
Tachycardia
Tacypnea
Hypertension
Hyperreflexia-3/4
Irritability 
Fever 
Diarrhea 
Pupil Dilation
Excitability
Seizures
Borborygmi
ETC.

Suction

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5
Q

9 S/S of downer use?

A 
Everything goes down
Bradycardia
Bradypnea
Hypotension 
Hyporeflexia-1/2
Lethargy 
Constricted Pupils
Flaccidity 
Respiratory Depression
paralytic ileus

Ambubag

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6
Q

Overdose/Intoxication:

A

I have too much….

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7
Q

Withdrawal:

A

I don’t have enough…

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8
Q

Overdose of a downer causes everything to go?

A

Down

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9
Q

Overdose of an upper causes everything to go?

A

Up

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10
Q

Withdrawal of an upper causes everything to go?

A

Down

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11
Q

Withdrawal of a downer causes everything to go?

A

Up

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12
Q

Upper withdrawal looks like

A

Downer Overdose

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13
Q

Downer Withdrawal looks like

A

Upper overdose

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14
Q

At birth if the mother was addicted to a substance always assume the newborn is in?

A

Intoxication (Not Withdrawal)

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15
Q

If 24 hours after birth assume the baby is in?

A

Withdrawal

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16
Q

Every alcoholic goes through what withing 24 hours after cessation?

A

Alcohol Withdrawal syndrome

17
Q

Alcohol Withdrawal syndrome

A

Hyper irritability state less than 24 hours after the first drink

18
Q

After 72 hours of alochol withdrawal a small minority may get?

A

Delirium Tremens

19
Q

Can Delirium Tremens kill you?

A

Yes

20
Q

Can Alcohol Withdrawal Syndrome kill you?

A

No

21
Q

Are patients with Alcohol Withdrawal Syndrome a danger to themselves or others?

A

No

22
Q

Are patients with Delirium Tremens a danger to themselves or others?

A

Yes

23
Q

7 N/I for Delirium Tremens?

A 
Private room near nurses station
NPO/Clear liquids
Restricted bed rest
Restraints, 
tranquilizer, 
multivitamin (B1 Vitamin/Thiamine) 
Antihypertensive.
24
Q

7 N/I for Alcohol Withdrawal Syndrome?

A 
Semi-private room anywhere
Regular diet
Up and ad-lib, no restraint
Tranquilizer
Multivitamin (B1/Thiamine) 
Antihypertensive.
25
Q

A two point restraint is?

A

One arm and the opposite leg.

26
Q

N/I for restraints?

A

Check Q15min
Rotate sites Q2H

Get a order fr restraints in 2hr

nclex 3 (12 decks)

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