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Flashcards in ALCOHOLISM Deck (28)
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1
Q

What is the biggest problem in abuse?

A

Denial

2
Q

To treat denial you need to?

A

Confront them.

3
Q

How do you confront?

A

Point out the difference between what they say and what they do.

4
Q

What is the one circumstance that you as a nurse would support denial?

A

Loss and Grief

5
Q

What is dependency?

A

When the abuser gets a significant other so make decisions for them or do thing for them.

6
Q

What is codependency?

A

When the significant other gets positive self esteem from doing things or making decisions for an abuser.

7
Q

To treat dependency/codependency you ?

A

Set limits and enforce them.

Say NO and follow through.
Agree in advance on what requests are allowed, then enforce the agreement.

You also need to work or the self esteem of the codependent.

8
Q

What is manipulation?

A

When the abuser gets the significant other fo do things for them that is not in the best interest of the significant other. This can be dangerous and harmful to the significant other.

9
Q

How do you treat manipulation?

A

Set limits and enforce.

10
Q

Why is manipulation easier to treat then dependency/codependency?

A

Because no one likes being manipulated.

11
Q

DABDA - 5 Stages of Grief

A
D- Denial
A- Anger
B- Bargaining
D- Depression
A- Acceptance
12
Q

To address a patient’s psychological needs, they must be:

A

STABLE, safe, comfortable.

13
Q

What is Wernickes (Korsakoffs) Syndrome?

A

Psychosis induced by vitamin B1 (Thiamine) deficiency.

14
Q

Symptom of Wernickes Korsakoffs syndrome?

A

Amnesia with confabulation.

= Loss of memory with making up stories to fill in the gaps.

15
Q

Vitamin B1 helps breakdown?

A

Alcohol

16
Q

So without B1 what happens?

A

Alcohol isn’t metabolized correctly goes to the brain and causes Wernickes

17
Q

Primary symptom of Wernickes?

A

Amnesia with confabulation (making up stories).

18
Q

Is Wernickes preventable?

A

Yes- Take Vitamin B1

19
Q

Is Wernickes arrestable?

A

Yes- Take Vitamin B1

Arrestable means Can stop from getting worse- not imply better

20
Q

Is Wernickes reversible?

A

No

21
Q

What is the goal of patients dementia/organic brain syndrome?

A

Maintain function, Never Improve.

22
Q

What is aversion therapy?

A

When you try and make the patient hate something.

23
Q

Antabuse onset and duration is?

A

2 weeks

24
Q

Teach a patient taking Antabuse to avoid what?

A

Alcohol

25
Q

On top of alcohol a patient taking Antabuse should also avoid what other 7 things?

A
NO: 
1.)mouthwash, 
2.)aftershaves, 
3.)perfumes/colognes, 
4.)alcohol-based hand santizers
5.)insect repellants, 
6.)-elixer (Robitussin), 
7.),un-cooked icings (vanilla extract)...  
However, they CAN have RED WINE VINAGERETTE
26
Q

How long does it take for Antabuse to get out of the system so they can drink Alcohol yet?

A

2 weeks

27
Q

What are Elixirs?

A

95% of liquids. If it is not an antibiotic, assume it is an elixir, so the patient can’t have it if on antabuse.

This rule applies for diabetics too (elixers also have sugar)

28
Q

What happens if a person on Antabuse ingests alcohol?

A

Nausea, Vomiting, & Possibly Death