NCLEX REVIEW > Alcoholism, Dependency > Flashcards

Alcoholism, Dependency Flashcards

(70 cards)

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1
Q

The number 1 psychological problem is

A

Denial

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2
Q

If the denial is coming from an abuser?

A
  • Confront them
  • Dont say you say I
  • point out what they say versus what they did
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3
Q

If the denial is caused by death of a loved one

A
  • This is the only situation where denial is acceptable
  • Support them!
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4
Q

What is DABDA

A

Denial, Anger, bargaining, depression, acceptance

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5
Q

The number 2 psychological problem is

A

Dependency or Co-dependency

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6
Q

What is dependency

A

When the dependent (abuser) gets their SO to do things for them

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7
Q

What is Co-dependency

A

When the dependent’s SO derives self-esteem from doing things for the dependent

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8
Q

How to treat dependency

A
  • The abusers are the dependents you mus confront them!
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9
Q

How to treat co-dependency

A
  • The SO is the co-dependent if they gain self esteem for doing things for the abuser.
  • Teach co-dependent pts to set limits and to enforce them
  • Teach them to say NO
    -Work on self-esteem
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10
Q

Manipulation vs Co-dependency

A
  • Co-dependency: what the abuser gets the co-dependent to do does not harm or endanger the co-dependent

-Manipulation: what the abuser gets the co-dependent to do for them puts that person at risk of harm or danger.

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11
Q

Tx: for Manipulation

A

Set limits and enforce
easier to treat this than co-dependency

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12
Q

Werneckie Korsakoff syndrome

A

Wernickie -> encephalpathy
Korsakoff-> psychosis

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13
Q

WK syndrome is induced by what

A

B1 thiamine deficit
- patinet loses touch with reality

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14
Q

Primary s/s of WK syndrome

A

Confabulation and amnesia

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15
Q

Tx for confabulation

A

Redirect the patient tosomething he can actually do

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16
Q

Charactersistics of WK syndrome

A

Preventable, arrestable, and Irreversible

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17
Q

Prevetntion measures

A

Take B1

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18
Q

Arrestable measures

A

Take B1

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19
Q

Antabuse what is it

A

Alcohol Deterrant

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20
Q

Duration and onset of Antabuse

A

2 weeks

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21
Q

Patient teaching for antabuse

A
  • must be off of it for 2 weeks before consuming any alcohol
  • stay away from prodcuts that contain aclohol like mouth wash, vanilla extract
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22
Q

Antidote for antibuse

A

Revia

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23
Q

Every abuse drug is either an

A

Upper or downer

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24
Q

Only abuse drug that is neither is

A

Laxative abuse in Elderly

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25
Top 5 upper drugs to memorize are:
Adderall, Caffiene, Cocaine, PCP/LSD, Meth
26
If its not one of those upper drugs than its a....
Downer
27
S/s of Upper drugs
Everything goes up
28
s/s of downers
everything goes down
29
Highest Priority for uppers
Suctioning r/t seizures
30
Highest priority for downers
intubation/ ventilation r/t respiratory arrest
31
Overdoes effect on an upper
Too much SE!!
32
Overdose effect on downer
Too little SE
33
Withdrawal on upper
Too little SE
34
Withdrawal on Downer
Too much SE
35
If a newborn is less than 24 hours old and the mother has a drug addiction?
Always assume intoxication
36
If newborn is older than 24 hours after birth from a drug addicted mother
You can assume withdrawal
37
Alcohol Withdrawal Syndrome is not the same as _____________?
Delirium Tremens
38
Every alcoholic will go through this 24 hours after last drink
AWS
39
Only less than 20% of alcoholics in alcohol withdrawal syndrome will have this
DT
40
DT occurs how many hours after last drink?
72 hours
41
You can AWS w/o DT but can't have DT w/o
AWS
42
Which one is more dangerous AWS or DT
DT
43
Care plan for AWS w/o DTs
- reg diet, up as lib, no restraints semiprivate room anywhere on unit
44
Care plan for AWS w/ DTs
- NPO or clear liquids, bed rest, private room near nursing station, restraints (2-point or vest)
45
2 point restraints postion
restraints in 1 upper and 1 contralateral LE.
46
Release what first in a 2 pont?
Release and secure upper arm first and then foot
47
How often are to change restraint postition for 2 point?
q2hr
48
What type of meds are given for both DT and AWS w/o DTs
Thiamine (B1), anti-HTN med, tranquilizer
49
What are the big guns of Abx?
Aminoglycosides
50
when are aminoglycosides used?
To treat serious resistant, life-threatening, gram neg infections!
51
All aminoglycosides end in
-Mycin
52
Not all drugs that end in-Mycin are?
Aminoglycosides - Azithromycin, Clarithromycin Erythromycin THRow these out!
53
Two most common toxic effects from aminoglycides
- ototoxicity and nephrotoxicity
54
To watch for ototoxicity monitor for
Hearing (ringing of ears) and balance
55
To monitor for nephrotoxicity
Check creatinine
56
Most effective lab measyrement for kidneys
24 Hour serum creatinine
57
the 8 trick with aminoglycosides
- they adminstered q8hr - they are toxic to CN8
58
Mean old mycins are given what route
IV or IM not usually PO
59
When are the only times amingoglycosides are given
- hepatic encephalpathy -Pre-op bowel surgery to sterilize gut
60
If absorbed PO is aminoglycosides more toxic or less than any other route
Less because it stays in gut no systemic effects
61
What two meds sterlize the bowel
Neomycin and kanamycin
62
The TAP method
-Draw trough beofre administration -Draw peak after drug admin
63
The TAP method is useful in with meds that have a _______therapeutic window.
Narrow
64
When to draw a trough before next admin time for drug
always 30 min before
65
rawing peaks depend on what versus troughs
route
66
Drawing a SubL Peak
5-10 mins after drug is dissolved
67
Drawing a IV peak
15-30 mins after drug is finshed so after bag is empty
68
Drawing an IM peak
30-60 mins after
69
The same drug given by 2 diff routes at same time will have
Different peaks
70
If 2 diff meds are given same route they will
have same peaks
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