Term
| When taking a drug over a length of time, the user needs to increase dosage to get the same effect. This is known as |
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Definition
|
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Term
| When taking a drug over a length of time, the user experiences negative effects when drug use is stopped. This is known as |
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Definition
|
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Term
| Name the drugs for which the withdrawal symptoms can be fatal. |
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Definition
|
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Term
| To determine physical status of an alcohol abuser, which tests would be ordered? |
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Definition
|
|
Term
| Where alcohol is absorbed |
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Definition
|
|
Term
| Effects of alcohol on the intestines hinders the absorption of |
|
Definition
Vitamin B1 (thiamine)
Vitamin B9 (folate) |
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Term
| Vitamin B1 (thiamine) deficiency, a common result of long-term alcohol abuse, leads to |
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Definition
| Wernicke-Korsakoff's syndrome |
|
|
Term
| What organ-related disease can be the result of alcohol abuse? |
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Definition
|
|
Term
| What factor within the alcoholic drink can affect absorption? |
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Definition
| carbonation - increases absorption |
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Term
|
Definition
autonomic hyperactivity
neuronal excitation
sensory perceptual disturbances |
|
|
Term
| autonomic hyperactivity: symptoms |
|
Definition
elevated vs
temp >100
pulse>100
resp>20
bp>160/95
nervousness
restlessness
psychomotor agitation
anxiety
sleep disturbances
irritability
diaphoresis
anorexia
copious vomiting -> dry heaves
TREMORS/SHAKES |
|
|
Term
| Autonomic hyperactivity: time of onset |
|
Definition
| 12-18 hrs after last drink |
|
|
Term
| neuronal excitation: symptoms |
|
Definition
severe tremors (internal and external)
panic
insomnia
transient hallucinations
paranoia
high suicide risk |
|
|
Term
| neuronal excitation: time of onset |
|
Definition
| 24-36 hrs after last drink |
|
|
Term
| sensory-perceptual disturbances: symptoms |
|
Definition
hallucinations
tonic-clonic seizures
agitation
panic
coma
death due to exhaustion |
|
|
Term
| sensory-perceptual disturbances: time of onset |
|
Definition
| 3-4 days after last drink |
|
|
Term
| A common screening test to determine alcohol/drug dependency |
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Definition
|
|
Term
| A common screening test to determine alcohol/drug dependency |
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Definition
|
|
Term
| The most important goals in detox management |
|
Definition
| comfort and safety during withdrawal |
|
|
Term
| At what blood alcohol level does coma become a concern? |
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Definition
|
|
Term
| At what blood alcohol level does death become a concern? |
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Definition
|
|
Term
| at what blood alcohol level do stupors, incoherence and aggressive behavior begin to occur? |
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Definition
|
|
Term
|
Definition
| blocks oxidation of ethanol, causing buildup of Acetaldehyde |
|
|
Term
| Antabuse contraindications |
|
Definition
S/P stroke or heart disease,
diabetes |
|
|
Term
|
Definition
| reduces craving for alcohol |
|
|
Term
| When should campral first be given? |
|
Definition
| after completion of withdrawal symptoms |
|
|
Term
| Campral: significant side effect |
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Definition
|
|
Term
Client reports the following:
- scaly, dry skin
- sleep disturbances
- cyanosis
- extremity numbness
- amenorrhea for at least three consecutive menstrual periods
Probable contition? |
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Definition
|
|
Term
Client reports the following:
low self-esteem
few friends
mood swings
electrolyte imbalances
dental decay
hypertension
Probable condition? |
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Definition
|
|
Term
| Signature signs of alcohol abuse include |
|
Definition
- Angiomas
- Swollen nose
- Reddened, thickened palms
- Hallucinations (usually visual)
- Horizontal nystagmus |
|
|
Term
| Horizontal nystagmus is a sign of |
|
Definition
|
|
Term
| The possible routes for administering thiamine include |
|
Definition
|
|
Term
| Who gets intoxicated faster, and why? |
|
Definition
| Women. Faster GI absorption rate, Different fluid composition, muscle-to-fat ratio lower, lower weight. |
|
|
Term
| Methadone is usually prescribed to ... |
|
Definition
|
|
Term
| How is methadone usually administered? |
|
Definition
| in orange juice or citrus drink. |
|
|
Term
| To get methadone treatment, the client must |
|
Definition
| go to a methadone clinic for each dose. |
|
|
Term
| Amphetamines are used typically as |
|
Definition
| mood elevators and appetite suppressants. |
|
|
Term
| The theory that claims excessive consumption of substances as the most immediate cause of addiction is called |
|
Definition
|
|
Term
| The physical factors theory suggests it is possible that the craving for alcohol may be linked to |
|
Definition
| a nutritional deficiency that alcohol may remedy. |
|
|
Term
| The evaluation tool used specifically to identify alcohism is called the |
|
Definition
| Diagnostic Interview Schedule (DIS) |
|
|
Term
| A diagnostic tool that can be used to determine degrees of addiction to any drug is called the |
|
Definition
| Addiction Severity Index (ASI) |
|
|
Term
| The three most common defense mechanisms used by the drug/alcohol abuser are |
|
Definition
- denial
- rationalization
- projection |
|
|
Term
| The four basic steps to management of all chemical dependencies are |
|
Definition
- recognition
- intervention
- treatment
- recovery |
|
|
Term
| The percentage of medical-surgical clients who have underying substance abuse problems is |
|
Definition
|
|
Term
| The percentage of ER admits that can be traced to complications related to substance abuse is |
|
Definition
|
|
Term
| The percentage of acute care admissions of older adults can be traced to complications related to substance abuse is |
|
Definition
|
|
Term
| Many people with a chemical dependency may be admitted under another diagnosis. This is becuase of |
|
Definition
| complications with insurance coverage. |
|
|
Term
| Abusers of one drug often have built up tolerance to related drugs as well. This is known as |
|
Definition
|
|
Term
| The most important question to ask before beginning any kind of rehab. |
|
Definition
"When was the last time you took (the drug in question)."
This is especially important when dealing with ALCOHOL. |
|
|
Term
| The best criteria for determining whether someone is alcoholic or chemically dependent. |
|
Definition
| If a person's use affects his or her job, interpersonal relationships, or family. |
|
|
Term
| A patient in the ER appears intoxicated. The most important thing to monitor is |
|
Definition
|
|
Term
| Usually the first indicator of alcohol withdrawal. |
|
Definition
|
|
Term
| A person experiencing withdrawal from drugs other than alcohol may have what kind of resulting V/S? |
|
Definition
| Varies by drug. They can fluctuate in any number of ways. |
|
|
Term
| Reevaluation of a client during detox period should occur |
|
Definition
every hour
More often during intensive detox period |
|
|
Term
| Long-acting meds to control or prevent withdrawal seizures |
|
Definition
- Librium
- Valium/Diastat |
|
|
Term
| Short-acting meds to control or prevent withdrawal seizures |
|
Definition
|
|
Term
| Medication used most often to treat alcohol-withdrawal tremulousness |
|
Definition
|
|
Term
| Nursing note regarding the use of benzodiazepines to treat withdrawal symptoms |
|
Definition
| Benzodiazepines have abuse/dependency potential. Taper down as soon as possible, usually within 2 to 4 days |
|
|
Term
| In treating chronic alcohol abuse, thiamine depletion can be worsened by |
|
Definition
|
|
Term
| The IV fluid of choice for alcohol withdrawal treatment is |
|
Definition
|
|
Term
| What is added to an IV to help prevent seizures? |
|
Definition
|
|
Term
| Drug(s) used to counteract overdose of CNS depressants |
|
Definition
|
|
Term
| Drug(s) used to counteract overdose of benzodiazepines |
|
Definition
|
|
Term
| Drug(s) used to counteract overdose of narcotics |
|
Definition
|
|
Term
| A severely malnurished patient should be monitored for refeeding syndrome, which is caused by an overdose of |
|
Definition
|
|
Term
| A severely malnourished patient should have carbohydrate intake monitored, to protect the patient from risk of |
|
Definition
|
|
Term
| A chronic alcohol abuser is in the ER receiving dextrose IV fluids. Peripheral edema develops. This is a sign of |
|
Definition
|
|
Term
| Dependence on several drugs |
|
Definition
|
|
Term
| A person living with or caring for another person who is an abuser of alcohol or other drugs |
|
Definition
|
|
Term
| The statement that typifies the rational emotive therapy premise is |
|
Definition
| “I am the only one who can control my behavior and that I need to reject irrational behavior.” |
|
|
Term
| The type of therapy used in drug rehab that focuses on the "here and now" is |
|
Definition
| Dialectical behavioral therapy (DBT) |
|
|
Term
| It is based on the theory that each person possesses inborn or innate (inner) health and has the capacity or ability to lead a healthy life. |
|
Definition
| Health realization theory |
|
|
Term
| Acute alcohol detoxification is usually completed in |
|
Definition
|
|
Term
| Acute alcohol detoxification nearly always begins within ________ of last ingestion. |
|
Definition
|
|
Term
| Acute cocaine detox lasts |
|
Definition
|
|
Term
| During the first 8-12 hrs of detox, monitor VS every |
|
Definition
|
|
Term
| What is the patient in alcohol withdrawal going to crave? |
|
Definition
|
|
Term
| During detox, body temp is monitored to prevent |
|
Definition
|
|
Term
| The premise of 12-step programs is |
|
Definition
| “I have a disease. It's not my fault. I need assistance to stop using.” |
|
|
Term
| When a client needs treatment for chemical dependency, what also needs to be considered? |
|
Definition
|
|
Term
| often the most important factor in maintaining sobriety |
|
Definition
| after-care: a follow-up plan for support after detox or intensive CD treatment |
|
|
Term
| What abnormal CBC result is likely to be seen in the chronic alcoholic? |
|
Definition
|
|
Term
| Vivid and terrifying hallucinations, delusions, vomiting, diarrhea, elevated VS: these are all signs of a condition known as |
|
Definition
|
|
Term
| A series of 2 to 8 tonic-clonic seizures close together is known as |
|
Definition
|
|
Term
| The irony of the codependent's behavior is that he/she |
|
Definition
| usually takes the blame for the abuser's behavior |
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|
