Substance abuse disorders Flashcards
What are the phases of alc use disdorder and give def
prealc - use to relieve a stressor
early alc - blackouts begin, brief periods of amnesia that occur during or right after use, alc is now required to the person
crucial - loses control, physiological dependence
chronic - emotional and physical changes
What are some risk factors for alc use disorder
deficient alc dehydrogenase enzyme and GABA mutation mono/dizygotic twins inability to relax poor communication skills
What is required to have dysphoria
the person has to part of a society not isolated, socialism is required
What sigmund stage would someone with alc use DO be stuck in
oral stage
What part of the ego is affected in alc use DO
superego
What type of DO is addiction
biopsychosocial
What are complicaitons of alc consumptions
Peripheral neurothapthy Cirrhosis of the liver Alcoholic myothapthy Wernicke’s encephalopathy Korsakoff’s Psychosis Alcoholic cardiomyopathy Esophagitis Gastritis Pancreatitis Alcoholic Hepatitis liver cirrhosis low WBC and Platelets
What tests are used for diagnosing alc DO
Gamma glutamyl transferase liver func test mean corpuscular volume AUDIT CIWA CAGE
When does alc withdrawal happen
4-12 hours after cessation
What levels are toxic for alc
100-200 mg/dL
What is CIWA used for
treating and assessing withdrawal
What is the most severe withdrawal for alc
delirium tremens
What meds can be used for delirium tremens
anticonvulsants and sedatives
or
hadol ativan benadryl combo
What are some manis of DT’s
Tremors generalized tonic clonic seizure Change in MS Agitation and irritability Confusion, disorientation Delirium Oversleeping Mood swings fatigue
What med is used to prevent seizures in alc DO pats
ativan
