Alcohol and other substance abuse

Question 1

What is alcohol?

Answer 1

Depressant

Question 2

Alcohol

Stage 1

Answer 2

Mild tremor

Nervous Nausea

Question 3

Alcohol

Stage 2

Answer 3

Increased tremor
Hyperactive 
Nightmare
Disorientation
Hallucinations
Increased HR and BP

Question 4

Alcohol

Stage 3

Answer 4

Most dangerous !!!
Severe halucinations (visual and kinesthetic)
Grand mal seizures

Question 5

Alcohol

Stage 2 and 3 are?

Answer 5

DT (withdrawal delirium)—-Keep light on

Question 6

Alcohol

Stage 1 and 2 are?

Answer 6

Walk and talk to the

Question 7

Alcohol tx

Don’t be afraid to give what?

Answer 7

Anxiolytics

Question 8

Alcohol tx- Anxiolytics

Remember client has tolerance to alcohol and a cross-tolerance to ?

Answer 8

Other CNS depressants

Question 9

Alcohol tx- Anxiolytics

The client can handle meds how often

Answer 9

Every 2 hours

Question 10

Alcohol tx- Anxiolytics

What should be prevented

Answer 10

DT

Question 11

Alcohol tx- Anxiolytics

Client is very ___ during episode

Answer 11

Frightened

Question 12

Alcohol tx- Detox protocol

Usually includes?

Answer 12

Thiamine injections
Multivitamins
Perhaps mag

Question 13

Alcohol- Complications

Chronic problems are caused by?

Answer 13

Thiamine/niacin deficiencies (B vits)

Question 14

Alcohol- Complications

What is Korsakoff syndrome?

Answer 14

Disoriented to time; confabulate

Question 15

Alcohol- Complications

What is Wernicke’s syndrome?

Answer 15

Emotions labile, moody, tire easily

Question 16

Alcohol- Other S/s

What neuritis?

Answer 16

Peripheral

Question 17

Alcohol- Other S/s

Problems

Answer 17

Liver and pancrease

Question 18

Alcohol- Other S/s

Sex

Answer 18

Impotence

Question 19

Alcohol- Other S/s

GI

Answer 19

Gastritis

Question 20

Alcohol- Other S/s

Electrolyte loss

Answer 20

Mag and K (due to peeing so much)

Question 21

Alcohol- Other S/s

Defense mechanism

Answer 21

Denial

Rationalization

Question 22

Alcohol- Rehab

Antabuse

Answer 22

Deterrent to drinking

Question 23

Alcohol- Rehab

Client has to sign consent form and must stay away from any form of alcohol, including ?

Answer 23

Cough syrup
Aftershaves
Colognes

Question 24

Alcohol- Rehab

Effective tx

Answer 24

12 step program

Question 25

Alcohol- Rehab Client must have a relapse prevention plan in place....Explain

Answer 25

Must have support once detox is over

Question 26

Alcohol- Rehab Family issues emerge once the alcoholic is sober.....so?

Answer 26

All dynamics change and this causes stress

Question 27

Other substance abuse/addiction Issues are the same..ex?

Answer 27

``` Intense craving Difficult to quit Many attempts to quit Fatal if untreated Use denial and rationalization Client life controlled by drug ```

Question 28

What is an anxiolytic used for outpatient detox?

Answer 28

Chlordiazepoxide