Substance Use

Question 1

quizlet cards

Answer 1

password: JCN2015

Question 2

effects of alcohol on the body

Answer 2

damage to myocardium, liver

Question 3

in moderation, alcohol can help you lead

Answer 3

a higher quality of life - delays onset of dementia

Question 4

during an assessment what do we want to ask the pt

Answer 4

when was your last drink - need to know when to look for withdrawal symptoms

Question 5

alcohol withdrawal peaks at

Answer 5

24-48 hours

Question 6

what do we use to reduce symptoms of alcohol withdrawal

Answer 6

benzos

Question 7

drug approved for maintaining alcohol abstinence

Answer 7

**disulfiram (antabuse) - helps people not drink

Question 8

s/s of alcohol withdraw

Answer 8

increased VS, shakes

Question 9

s/s of alcohol withdraw delirium

Answer 9

altered LOC

Question 10

adjuncts to benzos when treating alcohol withdraw

Answer 10

anti-epileptics (tegretol or dilantin), beta blockers or clonadine

Question 11

how does disulfiram work

Answer 11

acetylaldehyde builds up in the body if taking this drug and consuming alcohol - making people violently ill

Question 12

how long after taking disulfiram can someone have a drink without illness

Answer 12

2 weeks

Question 13

things to note about disulfram when prescribing

Answer 13

choose clients carefully - to ensure adherence

avoid all products that contain alcohol (lotions, sauces, cough syrups)

Question 14

a drug used to decrease craving for alcohol

Answer 14

revia

Question 15

drug used to decrease negative feelings r/t abstinence from drugs or alcohol

Answer 15

acamprosate

Question 16

support someone with alcohol withdraw with this

Answer 16

b vitamins and fluid replacement

Question 17

4 types of CNS stimulants

Answer 17

caffeine, nicotine, crack cocaine, amphetamines

Question 18

how does nicotine work in the body

Answer 18

activates receptors that stimulate dopamine

Question 19

does nicotine cause physical or psychological dependence

Answer 19

both physical and psychological dependence

Question 20

nicotine makes your heart work harder, t or f

Answer 20

true

Question 21

s/s of nicotine withdraw

Answer 21

cravings, restlessness, weight gain

Question 22

if you overdose on heroin

Answer 22

give narcan (dose should be closely monitored)

Question 23

best choice for opiod detox is

Answer 23

methadone substitution (taper)

Question 24

what do you use to correct overdose of heroin

Answer 24

narcan

Question 25

what should a pt. know about antabuse

Answer 25

avoid anything with alcohol

Question 26

opiod withdraw s/s

Answer 26

abd cramps
rhinorrhea
dilated pupils

Question 27

s/s pt needs additional dose of benzo during alcohol withdrawal

Answer 27

tachy
elevated temp, BP
tremors
increased anxiety

Question 28

cocaine intoxication s/s

Answer 28

resp depression
psycho-motor agitation
cardiac arrhythmia
dilated pupils