Test 2: Blueprint (5) Flashcards
What is considered legally intoxicated?
Blood alcohol content of 0.08% (80 g/dl)
What level of intoxication could result in death?
greater than 0.35% (350 g/dl)
Alcohol intoxication occurs at BAC between ___ - ___ mg/dl.
100 - 200 mg/dl
What screening method can be used to assess someone dealing with alcohol abuse?
CAGE questionaire
What does CAGE stand for?
Cut
Annoyed
Guilty
Eye-opener
CAGE: What is “Cut”?
Have youever felt you should CUT down on your drinking?
CAGE: What is “Annoyed”?
Have people ANNOYED you by criticizing your drinking?
CAGE: What is “Guilty”?
Have you ever felt bad or GUILTY about your drinking?
CAGE: What is “Eye-opener”?
Have you ever had a drink first thing in the morning to steady your nerves?
What must a nurse do before working with a person with alcohol dependency?
examine own attitudes and person experiences with substances
What is it called with someone is suffering from 2 completely separate mental health issues?
dual diagnosis
What can be done for the client during detoxification?
- provide safe and supportive environment
- administer substitution therapy
What is done during intermediate care?
- provide explanations of physical symptoms
- promote understanding and identify causes of substance dependency
- help client accept use of substance as a problem
- provide education and assistance to client and family
What is done during evaluation?
involves reassessment to determine whether the nursing interventions have been effective in achieving the intended goals of care
How long after last drink will withdrawal occur?
within 4 to 12 hours of cessation or reduction in heavy or prolonged alcohol use
List symptoms of withdrawal:
- coarse tremor of hands
- tongue or eyelids
- sweating
- elevated blood pressure
- anxiety
- depressed mood or irritability
- transient hallucinations or illusions
- headache and insomnia
- D.T.s
What are 4 nursing considerations for withdrawal?
1) safety
2) vital signs q4h or PRN
3) admin ordered meds
4) seizure precautions
What meds are commonly used for withdrawal?
- antabuse (Disulfram - abstinance drug…remember it makes you feel like your going to die)
- benzos
- tegretol
- thiamine
What groups are for recovering alcoholics? for families of alcoholics?
AA- alcoholics
Al-Anon - families
What is defined as dysfunctional behaviors by friends/families that protect/enable dependency (ie, keeping secrets or protecting)
co-dependency
Co-dependent people ___ their own ___ for the fulfillment of others to achieve a sense of ___.
sacrifice
needs
control
T/F: Co-dependent people often releases anxiety in the form of stress-related illnesses or compulsive behaviors like eating, spending, working or their own substance abuse.
True