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NCLEX Mark K > Alcoholism > Flashcards

Alcoholism Flashcards

(46 cards)

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1
Q

Number 1 problem in any abuse ( child abuse, gambling, spousal)

A

Denial

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2
Q

How do you respond/treat a patient in denial

A

Confront

Point out difference between what they say and what they do

Focus on “I” statements not “You” statements

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3
Q

Dont confront in Denial from Loss/Death

What are the stages of greif

A

Denial, Anger, Bargaining, Depression, Acceptance

DABDA

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4
Q

The 2nd biggest psych problem is…

A

Dependency or Co-dependency

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5
Q

(Dependeny / Codependency)

When the abuser has the significant other do things for them. Ie. Get alcohol, call their boss

Which one is dependent?
The abuser or the sign other

A

Dependency

Abuser is Dependent

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6
Q

(Dependeny/ Codependency)

When the significant other derives self-esteem from doing things or making decisions for the abuser

A

Codependency

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7
Q

How to help people who are in Dependent/ Codependent persons

Set ____ & Enforce them

A

Limits

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8
Q

Manipulation

When the abuser gets SO to do things for him that are not in the SO best ____ & are ____

A

INTERST/ Harmful

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9
Q

(Dependency / Manipulation)

Wife ask husband to go to the Hood to buy crack

(Dependency / Manipulation)

Wife ask husband for 10$ to buy crack in the hood

A

Manipulation/ Dependency

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10
Q

Wernicke-Korsakoff syndrome (WKS)
Found in Alcoholics

Describe each

It is a psychosis from lack of….

A

Wernicke: Encephalopathy

Korsakoff: Psycohsis

Vitamin B¹ or Thymine

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11
Q

Name 2 major mental symtpoms with
Wernicke-Korsakoff syndrome (WKS)

A

Confabulation (Making up stories)
Amnesia

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12
Q

Wernicke-Korsakoff syndrome (WKS)

How to deal with patients like this.

A

Redirect

Never confront

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13
Q

On boards

If a disease is 90% fatal do you describe it as (fatal or nonfatal)

A

Fatal

Always go with the majority

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14
Q

Disulfarim is (this type of medicine)

A

Antabuse

It can treat problem drinking by creating an unpleasant reaction to alcohol.

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15
Q

Aversion therapies goal is to

A

Make the person hate that particular event/ substance

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16
Q

Onset & Duration of effectiveness of: Disulfiram (antabuse)

A

2 weeks.

2 weeks until it is effective &
2 weeks after you stop taking it until you can drink again

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17
Q

Disulfiram (antabuse)

Teach; Avoid

A

Mouthwash
Aftershave
Perfume & Cologne
Insect repellent
OCT: that end in “Elixir”
Alcohol based hand sanitizer
Unbaked Icing: Vanilla Extract

Can they have RED WINE VINIGRETTE?

Yes

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18
Q

Downers cause respitory depression which leads to respitory ____

A

Arrest

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19
Q

With drugs that are abused questions

1st look at _____

2nd look at ____

Study These Flashcards
A

1st if drug is upper or downer

2nd if it’s overdose or withdrawal

20
Q

Withdrawals from

Uppers does…

Downers does…

Study These Flashcards
A

Withdrawal from

Uppers everything goes down

Downers everything goes up

21
Q

Concerning Drugs abuse able

Which 2 situations would you see respitory depression/ arrest

Study These Flashcards
A

Downer overdose

Upper withdrawal

22
Q

Which 2 situations with Drug abusable

Would the there be a risk for seizures

Study These Flashcards
A

Upper overdose

Down withdrawl

23
Q

Always assume (intoxication/ withdrawal) at birth

24
Q

Always assume (intoxication/ withdrawal) in a baby 24 hrs after birth

25
24 hrs after an alcoholic stops drinking he ALWAYS gets _____ 72 hrs later they MAY get _____
Withdrawal DT delirium tremors
26
Alcohol withdrawal syndrome (stable / Unstable) DT (stable / Unstable)
AWS stable DT Unstable
27
(Alcohol Withdrawal / DT) Regular Diet Semi-private room Up ad lib (Up as they want) No restrants (Alcohol Withdrawal / DT) NPO or clear liquids (seizure) Private room near nurses station Restricted bed rest Restrained (Vest or 2 point " oppsite arm & leg" lock leathers)
Withdrawal/ DT
28
Alcohol Withdrawal & DT Both get these meds
Anti HTN Tranquilizers Mulit-vitamin B¹
29
Aminoglycosides = A mean old mycin Used to treat these kinds of disease Ends in the suffix
Serious infections, Gram-negative Suffix: Mycin *Not all drugs end in Mycin are Aminoglycosides
30
Erythromycin, Azithromycin, Clarithromycin Are examples of...
Non Aminoglycosides that end in Mycin THRO, are weaker and throw them off the list of Aminoglycosides
31
Aminoglycosides Toxic effects (2)
1. Ototoxic (think: Mycin = Mice = Micky Mouse = Ears) Hearing loss, Tinnitus, Vertigo 2. Nephrotoxicity Measure: Creatinine 24 hr clearance (best choice)
32
Aminoglycosides are toxic to this cranial nerve And should be given this often
CN 8 q8h
33
Route to give Aminoglycosides
IM or IV
34
When to give Aminoglycosides orally (2) Give examples of Aminoglycosides
Hepatic Encephalopathy (liver coma) Aminoglycosides kill bacteria in gut reducing ammonia levels Preop Bowel Surgery (Kills all bacteria in bowels) Aminoglycosides = A mean old mycin Gentamicin, Tobramycin, Vancomycin, Clindamycin, Streptomycin, Cleomycin Neomycin Not Aminoglycosides = THROMYCIN Azithromycin, Clarithromycin, Erythromycin
35
Neomycin & cannamycin main function is...
Sterilize the bowels
36
Narrow Therapeutic Window 1st draw your _____ 2nd _____ 3rd Draw _____
Trough , Administer Drug, Peak
37
Aminoglycosides have a (Wide / Narrow) therapeutic window Is it necessary to draw troughs and peaks
Narrow Yes, draw troughs and peaks
38
When to draw a trough before giving a med via any route
30min before giving next Dose
39
When do you draw a sublingual peak
5- 10 minutes after drug has dissolved
40
When to draw Peak IV
15 - 30 minutes after drug is finished
41
When you have to values that are both correct in the same range. Which one should you select?
The higher one Price is Right Highest without going over
42
If antidepressants take 2- 4 weeks to work A client after 1 week complains that they are not working. Which is the correct response Wait A. A few more days B. Wait 1 more week C. Wait 3 more weeks D. We will get you a stronger dose
C. Because its the highest value without going over
43
When do draw peak value for IM medicine
30 - 60 minutes
44
Wernicke-Korsakoff syndrome (WKS) is ....
a serious brain condition that combines Wernicke encephalopathy and alcoholic Korsakoff syndrome. Wernicke encephalopathy: Symptoms include disorientation, confusion, mild memory loss, and difficulty controlling eye movements Korsakoff amnesic syndrome: A long-term condition that causes confusion and memory loss
45
vestibulocochlear nerve is the _____ cranial nerve. Responsible for hearing, vestibular portions balance, spatial sensation, and posture.
CN 8 Admin Aminoglycosides Q8H
46
Which vitamin do alcoholics lack
B1 (thiamine)

NCLEX Mark K (9 decks)

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