Unit 14 Flashcards
What is delirium?
A medical emergency characterized by inattentiveness, disorganized thoughts, and an altered LOC
What is Dementia?
multiple cognitive deficits that impair memory and can affect language, motor skills, and abstract thinking
What is Alzheimer’s disease?
Chronic, terminal disease that is characterized by the formation of neuritic plaques
What is the non-pharmacologic interventions for Alzheimer’s?
Consistency
Schedule bathroom
Caregiver is the same
Pet therapy
ID on at all times
Geri-chair
What are pharmacologic interventions for Alzheimers?
Cholinesterase inhibitors
Antidepressants (Zoloft)
Antipsychotic drugs
How should a nurse manage impaired thinking for a pt with Alzheimers?
Place pictures of family
Reduce distraction
Limit choices
Promote self-management
What are the s/s of opioid overdose?
Low BP, HR, and RR
Pinpoint pupils
Drowsy
Dysrhythmias
What are s/s of opioid withdrawal?
anxiety
n/v
high HR, BP, RR
Enlarged pupils
Spasms
Pain
Gooseflesh
What are interventions for opioid overdose?
naloxone
Monitor VS and ECG
What are s/s of alcohol withdrawal?
Mental status changes
Tremors
Diaphoresis
Tachycardia, HTN
Hypoglycemia
Agitation
Sensitivity to light and sounds
What are manifestations of ETOH delirium?
severe disorientation
psychotic manifestations
HTN
dysrhythmias
delirium
Happens 2-3 days after last drink
What is Antabuse?
Makes them sick when alcohol is ingested
S/S: drowsiness, headache, metallic aftertaste
What are the s/s of amphetamine overdose?
Jittery, anxious, dilated pupils, tachycardia, HTN, dysrhythmias
What is s/s of amphetamine withdrawal?
depressed, fatigued, anxious, irritable, paranoia, intense drug cravings, poor concentration
