Substance Abuse Flashcards
Most alcoholics are in:
Denial so Nursing communication should be objective and non judgemental
Alcohol Withdrawal 5 symptoms:
Sweating Anxiety Agitation Tremors Tachycardia
1st sign of alcohol withdrawn
Sweating
it’s 3 things for the Treatment for alcoholism ?
Regular diet and multivitamin and abstain from alcohol
Wernicke’s syndrome
What type of deficiency causes it?
Names some symptoms?
What is the role thiamine?
Neruo changes due to low thiamine (vit B1 deficiency ) confusion and blackouts!
Thiamine (B1)
plays a role in metabolizing glucose to produce energy for the brain
:
Describe the 3 symptoms Korsafoff’s psychosis?
Delirium , confusion , short term memory loss
Medications for Alcoholism-NO CURE ONLY ABSTINANCE
Antibuse (disulfiram): dye-SUL-fi-ram
Librium: (Chlordiazepoxide)
klor-dye-az-e-POX-ide
Antibuse (disulfiram)
dye-SUL-fi-ram
What will this med cause?
What can’t they have (7)?
Will causes extreme nausea and vomiting ! Stomach pain!!!
They can't have anything with alcohol in it Mouthwash Icing Cough syrup Hand sanitizer Cough drops
NO: 1.)mouthwash, 2.)aftershaves, 3.)perfumes/colognes, 4.)alcohol-based hand santizers 5.)insect repellants, 6.)-elixer (Robitussin), 7.),un-cooked icings (vanilla extract)... However, they CAN have RED WINE VINAGERETTE
Librium:
Chlordiazepoxide
klor-dye-az-e-POX-ide
What is it ?
What does it create ?
Is this A permanent or temporary medication?
What can’t they operate?
Is a central nervous system depressant ! It creates a response In the body like alcohol because alcohol depresses everything !
Is a temporary medication
Nor driving or operation heaving machinery !
Regular ETOH witdrawl place in a _____ room
If the pt is having severe delirium tremors they need to be in a _______room. Place in _____ . Get dr order within ____hours of putting on a restraints
Regular ETOH witdrawl place in a shared room
If the pt is having severe delirium tremors they need to be in a private room. Place in restraints . Get dr order within 2 hours of putting on a restraints
Severe ETOH Withdrawls treatment
5 interventions
Bed rest Restraints Benzodiazepine like Ativan BP meds for BP control Seizure precautions
Narcotics- what is narcotic?
Pt with narc Withdrawls r in a _______ room Except if they’re _______ (___ ) because they have ____ like symptoms
A addictive substance that alters pain or mood
Pt with narc Withdrawls r in a shared room Except if they’re post op (surgery ) because they have flu like symptoms
Narcotics withdrawal symptoms
(Note) flu like 4 symptoms?
Looks like some1 having the flu
Fever
Chills
Diarrhea
Nausea and vomiting
Treatment for Narcotics withdrawal is?
U can give methadone( short term drug) so u can’t And use it as a permanent fix for some1 who is addicted to Narcotics
Monitor vs , temp
Supportive care
Alcoholism=
Alcoholism-excessive consumption and ; dependence
