Substance Abuse Disorders

Question 1

Nursing Management

Answer 1

🠶 Recognition
🠶 Screening
🠶 Patient Education
🠶 Failure to address = breach of responsibility.

Question 2

Nicotine Abuse

Answer 2

🠶 Tobacco use disorder
🠶 Most common

Includes: Smoking
🠶 Cigarettes, cigars, pipes

Smokeless
🠶 Chew, dip, snuff

Question 3

Nicotine Effects

Answer 3

🠶 CNS stimulant
🠶 Adrenaline release
🠶 Withdrawal

Question 4

Nicotine Impact

Answer 4

🠶 Organ injury
🠶 Chronic lung disease
🠶 CV disease
🠶 Cancer
🠶 Delayed wound healing
🠶 Periodontal disease

Question 5

Tobacco Cessation

Answer 5

🠶 Our responsibility to address
🠶 Every encounter
🠶 Increases likelihood of quitting
🠶 Support and medications
🠶 Nicotine: Tobacco free facilities
🠶 Varenicline
🠶 Bupropion

Question 6

Alcohol Abuse

Answer 6

🠶 Social drinking
🠶 Risky drinking
🠶 Binge drinking

Question 7

Alcohol Impact

Answer 7

🠶 Central Nervous System (CNS)
🠶 Impulse control
🠶 Mood
🠶 Behavior
🠶 Coordination
🠶 Respiratory function
🠶 Cardiac function

Question 8

Blood Alcohol Concentration (BAC)

Answer 8

🠶 Amount of alcohol in blood
🠶 Tolerant versus intolerant consumption

Question 9

Geriatric Patients and Alcohol

Answer 9

Short-term use:
🠶 MVA
🠶 Falls
🠶 Drowning

Long-term use:
🠶 HTN
🠶 Heart disease
🠶 Stroke
🠶 Liver disease
🠶 Digestive issues

Question 10

Alcohol Toxicity

Answer 10

🠶 High BAC
🠶 No Antidote
🠶 Potentially fatal

Question 11

Alcohol Withdrawal Syndrome

Answer 11

🠶 Abrupt cessation
🠶 Onset
🠶 Peak
🠶 Delirium
🠶 Clinical Institute Withdrawal Assessment for Alcohol (CIWA)

Question 12

Stimulants

Answer 12

🠶 Highly addictive
🠶 Excite the CNS
🠶 Increase cardiac activity
🠶 Euphoria, alertness, energy
🠶 Examples:
🠶 Cocaine
🠶 Amphetamine-type drugs

Question 13

Stimulant Toxicity

Answer 13

🠶 No antidote
🠶 Potentially fatal
🠶 Stroke
🠶 Dysrhythmia
🠶 Status epilepticus

Question 14

Nursing Management of Stimulant Toxicity

Answer 14

🠶 ABC’s
🠶 Supportive care
Agitation
CV symptoms
Withdrawal
🠶 Quiet
🠶 Rest
🠶 Nutrition
🠶 SI Precautions

Question 15

Depressants

Answer 15

🠶 Sedation, sleep and analgesia
🠶 Euphoria and intoxication
🠶 Rapid tolerance
🠶 Not to brainstem-depressant effects
🠶 Rapid dependence
🠶 Opioids
🠶 Sedative-hypnotics
🠶 Barbiturates
🠶 Benzodiazepines

Question 16

Depressant Toxicity and Overdose

Answer 16

🠶 Mixing with alcohol
🠶 Opioids
🠶 CNS depression
🠶 Respiratory depression
🠶 Sedative-Hypnotic
🠶 Mimics ETOH Withdrawal
🠶 Delirium
🠶 Seizures
🠶 Respiratory and cardiac arrest

Question 17

Nursing Management of Depressant
Toxicity

Answer 17

ABC’s
🠶 Antagonists
🠶 Flumazenil
🠶 Naloxone
🠶 Drug elimination
🠶 Dialysis
🠶 Gastric lavage
🠶 Supportive care

Question 18

Inhalants

Answer 18

🠶 Similar to effects of ETOH
🠶 Rapidly reaches CNS
🠶 Potential for brain damage
🠶 Withdrawal is rare
🠶 Provide supportive care

Question 19

Cannabis

Answer 19

🠶 Similar to effects of ETOH
🠶 Rapidly reaches CNS
🠶 Potential for brain damage
🠶 Withdrawal is rare
🠶 Provide supportive care

Question 20

Cannabis Toxicity

Answer 20

🠶 Acute psychosis
🠶 Cardiac effects
🠶 Panic and flashbacks
🠶 Supportive care
🠶 Quiet
🠶 Benzodiazepines

Question 21

Cannabis Withdrawal

Answer 21

🠶 Heavy users
🠶 Irritable, anxious, N/V/anorexia, chills, disturbed sleep, fever, tremors
🠶 Supportive care only

Question 22

Nursing Management for Substance Abuse

Answer 22

🠶 Assessment
🠶 When last used
🠶 Withdrawal symptoms
🠶 Polysubstance use
🠶 Mental health disorders
🠶 Labs
🠶 Serum and urine drug screens

Question 23

Nursing Diagnoses for Substance Use
Disorders

Answer 23

🠶 Acute confusion related to toxicity or withdrawal
🠶 Ineffective health maintenance related to substance use
🠶 Disturbed sensory perception related to toxicity or withdrawal
🠶 Risk for injury related to altered mental status

Question 24

Goals for substance use

Answer 24

🠶 Normal physiologic functioning
🠶 Acknowledge problem
🠶 Abstain from use
🠶 Cooperate with treatment