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NUR 329 > week 2.3 > Flashcards

week 2.3 Flashcards

1
Q

Counter transference

A

own attitudes about substance use disorder may impact ones perception and influence how in provides care to people with addiction

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2
Q

what is the cause of craving more alcohol causing addiction

A

Alcohol breaks down into acetate
Slower process rate by pancreas/liver to break down acetate

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3
Q

addiction

A

Pattern of problematic alcohol use that causes distress and significant impairment

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4
Q

Substance intoxication

A

Recent overuse of a substance that results in a reversible substance specific syndrome

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5
Q

substance withdrawal

A

Symptoms develop when a substance is discontinued abruptly after heavy and long-term use

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6
Q

Can people die from alcohol withdrawal?

A

Yes

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7
Q

what symptoms does CIWA assess for?

A

Nausea, vomiting
Tremors
Anxiety
Paroxysmal sweats
Tactile disturbance
orientation

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8
Q

what daily replacement is given to prevent wernickes syndrome in alcohol withdrawal

A

thiamine

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9
Q

what symptoms does COW assess for?

A

heart rate
Lacrimation
Rhinorrhea
Dilated pupils
G.I. upset
Bone/joint aches
Goose flesh skin

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10
Q

if a patient is experiencing lacrimation and just given hydroxyzine, what should be avoided?

A

Benzodiazepines

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11
Q

if a patient is experiencing diarrhea, and is given kaopectate what should be avoided?

A

Loperamide

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12
Q

if a patient experiences, vomiting, or diarrhea with opioid withdrawal, what should be done?

A

Don’t flush the toilet until nurse and HCP are able to analyze

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13
Q

Naltrexone

A

given for alcohol and opioid withdrawal

Helps prevent relapse by reducing cravings

Opioids should not be taken 10–14 days before

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14
Q

what medication paired with alcohol will make you very sick

A

Antabuse/ disulfiram

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15
Q

clonidine

A

Antihypertensive
Calming properties

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16
Q

Campral

A

Reduces cravings
most effective long-term treatment
Take with meals due to D/GI upset

Do not use after unsuccessful detox

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17
Q

Suboxone

A

Given for opioid withdrawal

18
Q

Naloxone

A

can reverse effects of overdose
Injection or nasal mist

19
Q

Methadone

A

decreases cravings and withdrawal
Likelihood of respiratory depression

20
Q

Tolerance

A

Increased amounts of a substance overtime to achieve same affect

21
Q

Wernicke‘s encephalopathy

A

due to thiamine deficiency that interferes with glucose production

sx: mental confusion, ataxia, ophthalmoplegia

22
Q

Korsakoff psychosis

A

Persistent learning, and memory problems
Debilitating chronic illness

sx: ataxia, delirium, confabulation, neuropathy

23
Q

t/f Korsakoff psychosis is reversible

A

False

24
Q

wernickes- Korsakoff syndrome sx

A

hypotension
Hypothermia
Tachycardia
Intoxication looking

25
Q

how many alcoholic drinks per week places a female at risk of addiction

A

Seven

26
Q

How many alcoholic drinks per week places a male at risk of addiction

A

14

27
Q

can a patient still function normally in a black out?

A

Yes, but won’t remember first few hours

28
Q

what occurs if alcohol withdrawal is not treated

A

Delirium tremens
increase anxiety, disorientation, autonomic hyperactivity, paranoia, seizures, tremors

29
Q

disulfiram

A

Alcohol antagonist
Disrupts alcohol metabolism to acetate

30
Q

how long of abstinence until disulfiram can be taken?

A

12 hours

31
Q

can disulfiram be taken with mouthwash, or cold remedies, or any type of alcohol?

A

No

32
Q

SBIRT

A

screening: assess severity
Brief intervention : increase insight into substance use, and motivation for change
Referral to treatment

33
Q

what is the legal intoxication blood alcohol level?

A

0.08 or greater.

34
Q

what is dopamine’s role in addiction?

A

It is increased to a “feeling high”experience

35
Q

medication management for stimulants

A

Anticonvulsants
Anti-depressants

36
Q

medication management for hallucinogens, and cannabinols

A

benzodiazepines
Antipsychotics

37
Q

medication management for depressants

A

Phenobarbital
Long acting benzos

38
Q

who is the AUDIT screening tool for?

A

Adults

39
Q

CRAFFT screening tool

A

For adolescence with substance use

40
Q

RANGE

A

ask
Normal
Give score
Elicit reaction

41
Q

brief negotiated interview

A

Build rapport and ask permission
Discuss pro and con
Interpret scores give feedback
determine motivation to change
Negotiate action plan

NUR 329 (14 decks)

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