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NCLEX Review > Review two- ALCOHOLISM VS DELIRIUM > Flashcards

Review two- ALCOHOLISM VS DELIRIUM Flashcards

1
Q

what is the #1 problem with patients who have abuse probs

A

denial

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2
Q

denial def

A

refusal to accept the reality of the prob

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3
Q

how should a nurse respond to denial in pts with abuse issues

A

confrontation

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4
Q

how should a nurse respond to pts who have experienced a loss and are in denial

A

support

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5
Q

wernicke korskoff

A

psychosis induced by vitamin b1 or thiamine deficiency in alcoholics; psychosis

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6
Q

major s/s of wernicke korskoff

A

amnesia with confabulation

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7
Q

why is there no point in orienting wernicke korskoff pts

A

because they are not going to get better just distract or divert them

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8
Q

is wernicke korskoff preventable

A

yes vit b1 supplements

they can keep drinking

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9
Q

antebuse is an example of ___ therapy

A

aversion therapy

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10
Q

antebuse takes ___ weeks get in and out of system

A

2 weeks

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11
Q

what should pts taking antebuse avoid

A

all alcohol

  • perfume
  • mouthwash
  • processed frosting
  • aftershaves
  • otc elixers
  • insect sprays
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12
Q

5 uppers

A
  1. caffeine
  2. cocaine
  3. pcp/lsd
  4. meth
  5. adderall
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13
Q

upper s/s

A 
everything goes up!
euphoria
tachycardia
borborygmi
diarrhea
\+3/+4 reflexes
spasitic
seizure rx
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14
Q

downer s/s

A

everything goes down

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15
Q

overdose =

A

too much

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16
Q

withdrawl =

A

not enough

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17
Q

too little of an upper makes everything go down; too little of a downer makes everything go up

A

withdrawl

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18
Q

upper overdose looks like downer withdrawl; downr overdose looks like upper withdrawl

A

overdose

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19
Q

upper withdrawl ___ risk

A

resp distress rx

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20
Q

downer withdrawl ___ risk

A

seizure rx

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21
Q

upper overdose ___ risk

A

seizure rx

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22
Q

downer overdose ___ risk

A

resp distress rx

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23
Q

withdrawl in newborns:

always assume ___ not ___ at birth

A

intoxication not withdrawal

24
Q

after 24hrs newborns must be watched for

A

withdrawal

25
Q

every alcoholic goes through ____ ____ 24hrs q drinking

A

alcohol withdrawal

26
Q

only a minority of alcoholics get ___

A

delirium tremens

27
Q

delirium tremens occurs __ hrs after withdrawl

A

72hrs

28
Q

___ sydrome always precedes ___ , ___ does not always follow ____.

A

alcohol withdrawal syndrome always precedes delirium tremens, delirium tremens does not always follow alcohol withdraw.

29
Q

alcohol withdrawal pts are

A

stable

30
Q

DT pts are

A

unstable

31
Q

DT pts can be

A

dangerous

32
Q

AWS diet

A

reg

33
Q

DT diet

A

NPO; clear liquids; seizure precautions

34
Q

AWS room type

A

semi private anywhere

35
Q

DT room type

A

private near nurses station

36
Q

AWS amublation

A

up and lib

37
Q

DT ambulation

A

bedrest; no rr privileges

38
Q

AWS restraints

A

none

39
Q

DT restraints

A

2pt locked leathers; arm and leg opposites

40
Q

both AWS and DT pts receive

A
  • antihypertensive drug due to everything going up
  • tranquilizer
  • vit B1 multivitamin
41
Q

aminoglycosides are

A

very strong antibiotics; last resort; dangerous

42
Q

aminoglycosides; “a mean old mycin” to treat

A

a mean infection

43
Q

all aminoglycosides end in mycin except

A

arithromyocin, zithromyocin, clarithromyocin

“if it ends in mycin its a mean old mycin but if it has throw, throw it out”

44
Q

aminoglycosides are __toxic and ___toxic

A

ototoxic, nephrotoxic

45
Q

monitor what s/s of ototoxicity

A

tinnitus, vertigo, hearing

46
Q

monitor what s/s of nephrotoxicity

A

creatinine 24hr clearance

47
Q

aminoglycosides are also toxic to cranial nerve number __

A

8

48
Q

aminoglycosides cannot be administered

A

PO; causes hepatic encephalopathy and sterilizes bowel

49
Q

who can sterilize my bowel?

A

NEOCAN! neomycin or canomycin

50
Q

aminoglycosides are administered every

A

8hrs IM or IV

51
Q

trough is

A

drug measured at lowest

52
Q

peak is

A

drug measured at highest

53
Q

digoxin lvls

A

0.8-2.0

54
Q

draw drug troughs __ min prior to admin

A

30min

55
Q

when to draw a sublingual drug peak

A

5-10 min q admin

56
Q

when to draw IV drug peak

A

15-30 min q iv finishes

57
Q

when to draw IM peak

A

30-60 min q admin

NCLEX Review (12 decks)

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