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NCLEX > Alcoholism > Flashcards

Alcoholism Flashcards

1
Q

The #1 psychological problem in abuse disorders is…

A

DENIAL

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2
Q

Response/Treatment for denial

A

Confront them and point out difference between what they say and do

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3
Q

When is denial okay?

A

Loss/grief

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4
Q

5 stages of grief

A

DABDA
Denial
Anger
Bargaining
Depression
Acceptance

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5
Q

Denial is a loss situation you…

A

support pt

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6
Q

Denial in an abusive situation you…

A

confront pt

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7
Q

2 psych problem in abuse situations is…

A

co-dependency or dependency

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8
Q

dependency

A

The abuser is dependent (gets free ride/freedom from responsibilities)
partner does things and makes decisions for them

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9
Q

co-dependency

A

Partner is co-dependent
increases self esteem when doing things/making decisions for abuser

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10
Q

dependency treatment

A

dependents are abusers… confront them

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11
Q

co-dependency treatment

A

set limits & enforce them
agree on what requests are allowed then enforce
learn to say no
work on self esteems issues

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12
Q

Manipulation

A

when abuser gets partner to do things/make decisions that are not in best interest/harmful

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13
Q

manipulation treatment

A

set limits and enforce them

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14
Q

if task is not dangerous/neutral then its..

A

dependency or co-dependency

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15
Q

if task is dangerous/ harmful then its…

A

manipulation

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16
Q

How many pts in Denial?

A

1 pt

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17
Q

how many pts in dependency?

A

2 pts

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18
Q

how many pts in manipulation?

A

1 pt

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19
Q

Wernicke is…

A

encephalopathy

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20
Q

Korsakoff is…

A

psychosis

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21
Q

Psychosis induced by…

A

vit b1 deficiency, thiamine deficiency
pt looses touch with reality

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22
Q

s/sx of wernicke/korsakoff

A

amnesia & confabulation(making up stories: these lies are just as real as reality for them)

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23
Q

Dealing with Wernickie/Korsakoff confabulation

A

redirect pt and DO NOT present reality

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24
Q

Characteristics of W/K

A
  1. preventable… take B1
  2. arrestable (stop from getting worse)… take B1
  3. irreversible… causes brain damage
    (pt doesnt have to stop drinking they just need vit B1)
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25
Q

Antabuse

A

Alcohol deterrent

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26
Q

Revia (disulfram)

A

antidote

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27
Q

Aversion therapy

A

behavior therapy designed to make pt give up habit by associating it with unpleasant affect

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28
Q

Onset/Duration

A

2 weeks for antabuse and revia

29
Q

Antabuse/Revia teaching

A

avoid all forms of etoh b/c can lead to n/v and death
avoid items with alcohol (mouthwash, perfume, OTC liquid meds, elixir, hand sanitizer, bug repellent, vanilla extract, cupcake with unbaked icing)
Red wine vinagrettes does not have alcohol in it

30
Q

Overdose/Withdrawal steps

A
  1. is it upper or downer
  2. is it overdose or withdrawal
31
Q

if its not an upper than its a

A

downer

32
Q

The 5 Uppers

A
  1. caffeine
  2. cocaine
  3. adderall
  4. PCP/LSD (psychadelics/halluncinogens)
  5. Methampethamines
33
Q

Upper s/sx

A

Things go up!
euphoria, seizures, restlessness, irritability, hyperflexia, tachy anytthing, increased bowels (borboygmi), diarrhea

34
Q

Downer s/sx

A

Things go Down!
lethargic, resp depression/arrest, constipation, brady anything

35
Q

Highest Priority for Uppers

A

suctioning due to seizures

36
Q

highest priority for downers

A

intubation/ventilation due to resp arrest/depression

37
Q

Upper Overdose

A

Too much of an upper
everything goes up
seizure is highest concern

38
Q

Upper withdrawal

A

Too little of the upper
everything goes down
resp depression highest concern

39
Q

Downer OD

A

too much of a downer
everything goes down
resp depression highest concern

40
Q

Downer Withdrawal

A

too little downer
everything goes up
seizure is highest concern

41
Q

Drug abuse in newborn rules

A

Less than 24 hrs -> intoxication(overdose)
24 hrs + -> withdrawal

42
Q

alcohol withdrawal syndrome

A

EVERY alcoholic goes through this 24 hrs after cease in drinking

43
Q

Delirium Tremens

A

occurs about 72 hrs after cease in drinking

44
Q

AWS & DT analogy

A

pee pee (AWS) always before poo poo (DT) but poo poo (DT) not always after pee pee (AWS)
AWS always comes before DT but DT doesnt always come after AWS

45
Q

AWS care plan

A

24 hrs after last drink
non-life threatening
regular diet, semiprivate room, pt free to move around, no restraint

46
Q

DT care plan

A

72 hrs after last drink
life threatening to others and self
NPO/clear liquid diet (seizures), private room near RN, bed rest, restraints (vest/2 pt lock)

47
Q

AWS & DT meds

A

anti HTN
tranquilizer
multivitamin with B1

48
Q

Aminoglycosides

A

Big gun of antibiotics ONLY used as last resort, unsafe at toxic levels

49
Q

Aminoglycosides= A Mean Old Mysin

A

Treats Mean old infections
-serious, life threatening, gram negative
(TB, sepsis)

50
Q

All Aminoglycosides end in

A

-mycin
(not all drugs ending in mycin are aminoglycosides)

51
Q

If they have THRO in the middle throw them off the Mean Old Mycin list

A

These do not treat serious infections
(ex: aziTHROmycin)

52
Q

Aminoglycoside side effects

A

Ototoxicity (monitor hearing, balance, tinnitus, CN8)
Nephrotoxicity (monitor Creatinine)

53
Q

aminoglycoside Rule of 8

A

Toxic to CN8
administer every 8 hrs

54
Q

Mean old mycins are not given PO except..

A
  1. hepatic encephalopathy to kill e.coli
  2. pre-op bowel surgery
55
Q

1 action of oral mycin

A

Sterilize bowel

56
Q

Who can sterilize the bowels

A

NeoKan
Neomycin
Kanamycin

57
Q

Trough

A

when drugs are at the lowest concentration in blood

58
Q

peak

A

when drugs are at highest concentration in blood

59
Q

TAP level

A

Trough
Administer
Peak

60
Q

Narrow therapeutic window/index

A

small difference in what works and what kills with a med

61
Q

Troughs are drawn…

A

30 mins before next med dose

62
Q

Peaks are drawn…

A

depending on the route of administration

63
Q

Peak Sublingual

A

5-10 mins after dissolved

64
Q

peak IV

A

15-30 mins after drug finished (bag empty)

65
Q

peak IM

A

30-60 mins

66
Q

peak subQ

A

depends on insulin

67
Q

peak PO

A

not needed, not tested

68
Q

Play price is right for drawing peaks

A

if 2 answers are correct go with the highest time without going over

NCLEX (19 decks)

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