week 2.3 Flashcards
Counter transference
own attitudes about substance use disorder may impact ones perception and influence how in provides care to people with addiction
what is the cause of craving more alcohol causing addiction
Alcohol breaks down into acetate
Slower process rate by pancreas/liver to break down acetate
addiction
Pattern of problematic alcohol use that causes distress and significant impairment
Substance intoxication
Recent overuse of a substance that results in a reversible substance specific syndrome
substance withdrawal
Symptoms develop when a substance is discontinued abruptly after heavy and long-term use
Can people die from alcohol withdrawal?
Yes
what symptoms does CIWA assess for?
Nausea, vomiting
Tremors
Anxiety
Paroxysmal sweats
Tactile disturbance
orientation
what daily replacement is given to prevent wernickes syndrome in alcohol withdrawal
thiamine
what symptoms does COW assess for?
heart rate
Lacrimation
Rhinorrhea
Dilated pupils
G.I. upset
Bone/joint aches
Goose flesh skin
if a patient is experiencing lacrimation and just given hydroxyzine, what should be avoided?
Benzodiazepines
if a patient is experiencing diarrhea, and is given kaopectate what should be avoided?
Loperamide
if a patient experiences, vomiting, or diarrhea with opioid withdrawal, what should be done?
Don’t flush the toilet until nurse and HCP are able to analyze
Naltrexone
given for alcohol and opioid withdrawal
Helps prevent relapse by reducing cravings
Opioids should not be taken 10–14 days before
what medication paired with alcohol will make you very sick
Antabuse/ disulfiram
clonidine
Antihypertensive
Calming properties
Campral
Reduces cravings
most effective long-term treatment
Take with meals due to D/GI upset
Do not use after unsuccessful detox
Suboxone
Given for opioid withdrawal
Naloxone
can reverse effects of overdose
Injection or nasal mist
Methadone
decreases cravings and withdrawal
Likelihood of respiratory depression
Tolerance
Increased amounts of a substance overtime to achieve same affect
Wernicke‘s encephalopathy
due to thiamine deficiency that interferes with glucose production
sx: mental confusion, ataxia, ophthalmoplegia
Korsakoff psychosis
Persistent learning, and memory problems
Debilitating chronic illness
sx: ataxia, delirium, confabulation, neuropathy
t/f Korsakoff psychosis is reversible
False
wernickes- Korsakoff syndrome sx
hypotension
Hypothermia
Tachycardia
Intoxication looking
how many alcoholic drinks per week places a female at risk of addiction
Seven
How many alcoholic drinks per week places a male at risk of addiction
14
can a patient still function normally in a black out?
Yes, but won’t remember first few hours
what occurs if alcohol withdrawal is not treated
Delirium tremens
increase anxiety, disorientation, autonomic hyperactivity, paranoia, seizures, tremors
disulfiram
Alcohol antagonist
Disrupts alcohol metabolism to acetate
how long of abstinence until disulfiram can be taken?
12 hours
can disulfiram be taken with mouthwash, or cold remedies, or any type of alcohol?
No
SBIRT
screening: assess severity
Brief intervention : increase insight into substance use, and motivation for change
Referral to treatment
what is the legal intoxication blood alcohol level?
0.08 or greater.
what is dopamine’s role in addiction?
It is increased to a “feeling high”experience
medication management for stimulants
Anticonvulsants
Anti-depressants
medication management for hallucinogens, and cannabinols
benzodiazepines
Antipsychotics
medication management for depressants
Phenobarbital
Long acting benzos
who is the AUDIT screening tool for?
Adults
CRAFFT screening tool
For adolescence with substance use
RANGE
ask
Normal
Give score
Elicit reaction
brief negotiated interview
Build rapport and ask permission
Discuss pro and con
Interpret scores give feedback
determine motivation to change
Negotiate action plan
