ETOH abuse

Question 1

What is the most commonly used and abused substance in the U.S?

Answer 1

Alcohol

Question 2

The following factors influence the development and manifestations of alcoholism.

Answer 2

Genetic
Psychosocial
Environmental

Question 3

What does Alcohol depress?

Answer 3

CNS function

Question 4

Alcohol create an addictive effect where?

Answer 4

in the GABA neurotransmitter

Question 5

Alcohol decreases what?

Answer 5

Neuronal excitability

Question 6

Alcohol inhibits what?

Answer 6

glutamate

Question 7

What effects the rate of alcohol metabolism and absorption?

Answer 7

Body mass, food intake, and liver function

Question 8

What is the most common dual dignosis/dual disorder?

Answer 8

Co-occuring substance abuse and psychiatric illness

Question 9

How many deaths per year occur due to alcoholism?

Answer 9

100,000

Question 10

How many of the nation’s adult population consumes alcohol regularly?

Answer 10

two thirds

Question 11

What is the estimated amount of Americans that have an alcohol use disorder or abuse alcohol?

Answer 11

18 million

Question 12

What is the estimated number of underage drinkers?

Answer 12

9.7 million

Question 13

What are the risk factors of alcohol abuse?

Answer 13

Genetic phenotypes
Biological factors
Sociocultural 
Developmental considerations
Children of alcoholics (COAs)

Question 14

What type of manifestations are there if alcohol is used in moderation?

Answer 14

Positive effects:

Decreases coronary artery disease and protects against stroke

Question 15

What happens when alcohol is consumed in excess?

Answer 15

Diminishes ability to function

Can be life threatening

Question 16

Chronic alcohol abuse tends to result in what?

Answer 16

Severe liver damage

Question 17

What is a complication of chronic alcohol abuse?

Answer 17

Malnutrition

Question 18

What are the severe manifestation of alcohol withdrawal?

Answer 18

Seizures
Convulsions
DTs

Question 19

Chronic alcohol abuse results in what?

Answer 19

Production of tolerance
Disruption of sleep
Increases risk of alcohol withdrawal

Question 20

Malnutrition from chronic alcohol abuse can cause what?

Answer 20

Wernicke encephalopathy and Korsakoff psychosis

Question 21

Alcohol abuse results in what types of toxic effects?

Answer 21

Multisystem

Question 22

What GI toxic effects are created due to chronic alcohol abuse?

Answer 22

Esophageal varices
Pancreatitis
GERD
Gastritis
Decreased appetite
Nutritional deficiencies

Question 23

What 3 things can happen to the liver due to chronic alcohol abuse?

Answer 23

Cirrhosis
Fatty liver
Cancer

Question 24

What cardiovascular effects are created due to alcohol abuse?

Answer 24

CAD
Hypertension
Arrhythmias

Question 25

What respiratory effect could happen due to alcohol abuse?

Answer 25

Pneumonia

Question 26

What hematological effect could occur due to alcohol abuse?

Answer 26

bone marrow depression

Question 27

What neurological effect could occur due to alcohol abuse?

Answer 27

Black outs Dementia Seizures Labile moods

Question 28

What endocrine effects could occur due to alcohol abuse?

Answer 28

Hyperglycemia | Decreased thyroid

Question 29

What reproductive effects could occur due to alcohol abuse?

Answer 29

Menstrual | Decreased sex drive

Question 30

When does alcohol withdrawal syndrome typically begin?

Answer 30

6-8 hours after the last drink

Question 31

What are the symptoms of Alcohol withdrawal syndrome?

Answer 31

Irritability Insomnia tremors Sweating

Question 32

When does Alcohol withdrawal delirium usually occur?

Answer 32

Days 2 and 3 after the last drink

Question 33

What are the clinical manifestations of Alcohol withdrawal delirium?

Answer 33

- Confusion - Hallucinations - Tachycardia - Hyper or hypotension - Diaphoresis - Fever - Extreme tremors

Question 34

What are the symptoms of overdosing on alcohol?

Answer 34

``` Nausea and Vomiting Lack of coordination Slurred speech Staggering Disorientation Irritability, labile emotions Poor judgment Lack of inhibition Unconsciousness ```

Question 35

What are the diagnostic tests for alcohol abuse?

Answer 35

Breathalyzer and blood alcohol level

Question 36

What are the collaboration treatments for withdrawal from alcohol?

Answer 36

Symptomatic and to minimize adverse outcomes | Medications

Question 37

What are the complementary and alternative therapies used for treating alcoholism?

Answer 37

EEG biofeedback | Yoga

Question 38

What is the main health promotion for alcohol use?

Answer 38

Prevention of alcohol use in children and adolescence

Question 39

What are the challenges for nurses revolving around alcohol abuse?

Answer 39

Intoxicated client Impaired senses Increased risk-taking behaviors

Question 40

What assessment should be made for a client who has suspected alcohol abuse?

Answer 40

Past alcohol and substance abuse Medical history Screening tools (MAST; CAGE questionnaire)

Question 41

What are the Nursing Diagnoses for alcohol abuse?

Answer 41

- Risk for injury - Risk for violence - Ineffective Coping - Imbalanced Nutrition - Chronic or Situation Low Self-Esteem - Deficient knowledge - Disturbed Sensory Perception - Disturbed though processess

Question 42

What are the goal you should have for a patient with alcohol abuse?

Answer 42

- Client will admit alcohol controlling his or her life - Client will agree to enter an alcohol treatment facility - Client will experience no complication as a result of alcohol abuse or alcohol withdrawal. - Client will obtain optimal nutritional status - Client will remain sober - Client will participate in support groups such as AA after discharge from treatment facility

Question 43

What implementations need to be done for a client with alcohol abuse?

Answer 43

- Promote safety - Promote participation in treatment - Promote healthy coping skills - Promote adequate nutrition - Promote healthy self-esteem - Provide client education - Promote safety during withdrawal.

Question 44

Upon evaluation of a client with alcohol abuse what should you expect?

Answer 44

- Client controls anxiety to tolerable level - Client displays new coping mechanisms - Client experiences no complications - Client accepts responsibility of how behavior impacts family unit