Flashcards in Mental health study guide test#1 Deck (41):
physical and mental state of exhilaration and emotional frenzy, lethargy or stupor.
physiological and mental readjustment that accompanies discontinuation of an addictive substance.
Question to ask pt, with dependence, alcohol abuse?
when was the last time did u abuse alcohol or substance?
In a 12 month of period: on or more of this should happen. Either recurrent use resulting role failure in home or school.2)it's creating physically hazardous continued due to impairment and their following of continue of legal problems
substance abuse hallmark sign
loss of control( main one). pt builds more tolerance to get the same effect which leads to getting more substance abuse.
building tolerance to one chemical similar family. For ex-benzo, alcohol, barbi are located in close proximity on the GABA receptor.
one drug can prevent withdrawal symptoms associated with physical dependence on a different drug.
Example-Heroin addicts us Methadone to detox.
Biochemical- alcohol may produce morphine like substance in the brain.
Genetic vulnerability- children are prone to alcohol 3 to 4 times more.
personality defects-intense sensory input,passive, can' learn from aversive conditions .
feeling pleasure becomes reinforced.
Pleasure reward system
dopamine-where the addictive behaviors become reinforced.
regressed and fixated, in oral stage -Erik Erickson theory
social forces, role models, respond to stress in our environment and ethnic group
Family systems theory
codependent- people pleasures, competent outside and helplessness from inside.
Alcohol/Alcoholism blood level
100-200 mg/dL is=intoxication, Death can occur with level of 400-700 mg/dL
depression, malnourished and loss of self respect.
Alcohol minor withdrawal
(4-12hrs) anxiety, agitation, irritability, nausea and vomiting.
alcohol major withdrawal
life threatening, hypertension, tachycardia, confusion tremors, hallucinations and seizures.Alcohol withdrawal delirium( 2-3 days). Drinking before going to sleep decreases REM sleep.
CAGE, Cut down, annoyed, guilt and eye opener.
objective-VS, Appearance, Neuro checks and toxicology screen
Disease of alcoholism
Biological- inherited , progressive- continues downward spiral whether the alcoholic stop drinking or not.
GI-esophageal bleeding, gastritis and pancreatitis
cirrhosis( low blood flow)=portal hypotension
hepatic encephalopathy- Liver can't convert ammonia to urea which equal impaired mental functioning
Nutritional deficiency- vitamin B thiamine
infectious disease-pneumonia and TB
cardio- hypertension, cardiomyopathy
leukopenia- production, function and movement of wbc is impaired.
thrombocytopenia -production and survival of platelets is impaired .
Medical treatment for alcoholism
First thing monitor VS frequently
check pt fluids status if its over or more
Give magnesium sulfate to prevent seizures and you can Dilantin if pt has history of Seziures before too.
give pt thiamine and multivtiamins.
Detox pt primarily on first
Librium and diazepam for short term
med for long term
Treatment for withdrawal
safety#1, sitter, If pt has hallucinations then nurse should orient them because it's part of the withdrawal
Teach pt, its take's long time like 3 to 4 weeks to work.
take with food.
its interacts with serotonin and DA
in the bus pt can became dizzy and drowsy.
RADICAL PEA PATA
Restlessness,Agitation, dilated pupils, increase respiration's,confusion and lost of appetite.
PEA -Paranoid, elevated BP, Agitation
PATA- psychosis assaultive behavior, Tremors, arrhythmia's
DC=Depression, craving for substance
SF=suicidal or paranoid
PR=psycho motor agitation
GILL SHIT FED
GILL-gait problem,impaired memory or attention, labilty and irritability
SHIT- slurred speech, hallucinations,impaired memory , talkative
FED-fever, euphoric, delirium and dealth
CIAO-coma, insominia, anxiety or tachycardia and orthostatuc drops
SD-seizures, decrease respiration
NM-Nausea and vomiting, muscle contractions
LaTer- Life threatening and tremor
NSA- nemibutual, seconal, amytal
PBT-Phenobarbital, butabarbital and tunial
Sedative, hypnotic or anxiolytic INtoxication
LISA= Labile, inappropriate sexual, slurred speech, Aggressive
SIN- Stupor, Impaired memory and attention, Ngstagmus
Sedative, hypnotic or anxioytic withdrawal
NADIA-Nausea, anxiety, diaporesis, insomnia and autonomic hyperactivity.
PG- psycho motor agitation and grand mal seizures
TVH- Tachycardia, vomiting and hand tremor
ROME ICU SAD
ROME-respiratory depression, out of touch, Impaired memory, euphoric
ICU-impaired memory, clammy skin, unconsciousness to come,
SAD-slurred speech, Analgesic qualties and drowsy
DR WANDA Y FIDM
DR- diaphoresis rhinorrhea
WANDA-watery eyes, abdominal cramps,nausea vomiting , dysphoric, anxiety
FIDM-flu like symptoms , Insomnia, Dilated pupils, Muscle/joint pain
APNA HDTV GAP
A-act directly blocks dopamine
Inhalants on CNs
Cerebral atrophy cerebellar degeneration, white matter lesions causing cranial nerve damage or pyramidal signs