Substance Use Flashcards
quizlet cards
password: JCN2015
effects of alcohol on the body
damage to myocardium, liver
in moderation, alcohol can help you lead
a higher quality of life - delays onset of dementia
during an assessment what do we want to ask the pt
when was your last drink - need to know when to look for withdrawal symptoms
alcohol withdrawal peaks at
24-48 hours
what do we use to reduce symptoms of alcohol withdrawal
benzos
drug approved for maintaining alcohol abstinence
**disulfiram (antabuse) - helps people not drink
s/s of alcohol withdraw
increased VS, shakes
s/s of alcohol withdraw delirium
altered LOC
adjuncts to benzos when treating alcohol withdraw
anti-epileptics (tegretol or dilantin), beta blockers or clonadine
how does disulfiram work
acetylaldehyde builds up in the body if taking this drug and consuming alcohol - making people violently ill
how long after taking disulfiram can someone have a drink without illness
2 weeks
things to note about disulfram when prescribing
choose clients carefully - to ensure adherence
avoid all products that contain alcohol (lotions, sauces, cough syrups)
a drug used to decrease craving for alcohol
revia
drug used to decrease negative feelings r/t abstinence from drugs or alcohol
acamprosate
support someone with alcohol withdraw with this
b vitamins and fluid replacement
4 types of CNS stimulants
caffeine, nicotine, crack cocaine, amphetamines
how does nicotine work in the body
activates receptors that stimulate dopamine
does nicotine cause physical or psychological dependence
both physical and psychological dependence
nicotine makes your heart work harder, t or f
true
s/s of nicotine withdraw
cravings, restlessness, weight gain
if you overdose on heroin
give narcan (dose should be closely monitored)
best choice for opiod detox is
methadone substitution (taper)
what do you use to correct overdose of heroin
narcan
what should a pt. know about antabuse
avoid anything with alcohol
opiod withdraw s/s
abd cramps
rhinorrhea
dilated pupils
s/s pt needs additional dose of benzo during alcohol withdrawal
tachy
elevated temp, BP
tremors
increased anxiety
cocaine intoxication s/s
resp depression
psycho-motor agitation
cardiac arrhythmia
dilated pupils
