OLOL Substance abuse
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| Capacity for enduring a large amount of a substance (food, drug, or poison) without an adverse effect and showing a decreased sensitivity to subsequent doses of the same substance. | show 🗑
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| show | dual diagnosis
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| a phenomenon in which a person functions normally while drinking but later has no memory of what occured during that period with no accompanying loss of consiousness | show 🗑
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| show | Delirium Tremens (DT's)
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| show | Wernicke-Korsakoff Syndrome
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| show | Fetal Alcohol Syndrome
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| show | Substance abuse
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| show | Substance abuse
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| ______ _______ is associated with using a drug in a way that is inconsistent with medical or social norms and despite negative consequences. | show 🗑
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| show | 20%
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| Why do people drink? | show 🗑
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| What engenders the immediate profound desire for re-admission? | show 🗑
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| show | Any long-term consequences associated with engagin in addictive behaviors. Continued use leads to the developement of tolerance.
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| Continued use of substances leads to what? | show 🗑
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| show | Suicide
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| show | Concurrently
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| Substance abuse often mask mood disorders, anxiety disorders, adjustment disorders, sleep disorders, personality disorders, antisocial disorders basically, | show 🗑
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| show | genetic
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| What are psychological risk of substance abuse? | show 🗑
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| show | abuse survivor, lack of nutrance in childhood, coping skills deficit
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| show | addiction
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| 33% of persons with an addiction develops a | show 🗑
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| show | alcohol ( ethanol)
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| show | aspiration from vomiting, respiratory distress from withdrawl
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| show | blackouts
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| When a person is intoxicated by alcohol what will you see? | show 🗑
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| When does withdrawl from alcohol begin? | show 🗑
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| What is an important question to ask an alcoholic? | show 🗑
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| When an alcoholic is going through withdrawl, what do they experience? | show 🗑
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| If a person gets to 100 (diastolic, temp, pulse) then what is going on? | show 🗑
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| What might withdrawls in an alcoholic progress to? | show 🗑
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| show | Alcohol withdrawl.
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| Alcohol withdrawl needs to be done where? | show 🗑
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| show | Benzidiazepenes(ativan)
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| show | The American Society of Addicitive Medicine & Substance Abuse Treatment
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| show | gastritis, malnutrition, pancratitis, esophagitis, alcohol cardiomegaly, hepatatis, cirrhosis, increased risk of cancer of the mouth, pharynx, esophagus, stomach, pancreas, and fetal alcohol syndrome
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| show | timeline specific to the drug used
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| show | autonomic hyperactivity, hypertension, tachycardia, hyperthermia, hand tremors, insomnia, anxiety, nausea, psychomotor
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| show | taper the drug under supervision, esp barbituates.
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| Abrupt withdrawl from these may be life threatening | show 🗑
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| show | euphoria, hyperactivity, talkative, anxiety, grandiosity, hallucinations, anger, impaired judgement, hypertension, tachycardia, diaporesis, chest pain, confusion.
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| What causes pshycosis and often incurs police involvement? | show 🗑
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| When does withdrawl from amepetamines or cocaine begin? | show 🗑
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| show | dysphoria "crashing"
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| show | Suicidal Ideations.
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| What happens when a pt is intoxicated by maijuana? | show 🗑
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| What happens when a person withdrawls from Maijuana? | show 🗑
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| show | morphine, demerol, oxycodone, heroin
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| show | apathy, lethargy, impaired judgement, impaired memory, agitation, constricted pupils, slurred speech, OD can result in death.
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| What does a pt look like when they are withdrawling from opiods? | show 🗑
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| show | halluciongens (visual) anxiety, depression, parionoia, fear of losing mind, impulsiveness, ( jumping out of window believeing they can fly)
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| What happens with a person who is withdrawling from Hallucinogens? | show 🗑
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| Where is inhalants abuse most seen? | show 🗑
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| What signs and symptoms will a nurse see in a pt that is intoxicated with inhalants | show 🗑
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| If Inhalant abuse is severe it may cause what? | show 🗑
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| What are the medical consequences of excessive Inhalant use? | show 🗑
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| What should a nurse assess on a substance abuse pt? | show 🗑
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| What things should the nurse asses for the psychological assessment | show 🗑
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| Which pt's mood needs the most imediate attention when withdrawling from a substance? | show 🗑
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| show | They are in denial
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| show | irritable
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| show | minimizing use, blaming others, rationalizing behavior, and desire to continue using.
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| show | cognitive function impairment from long term use or inhalants
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| What should you assess with a substance abuse pts family? | show 🗑
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| What does a nurse assess for during a chemical abuse assessment? | show 🗑
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| show | coping skills, personal pain avoidance( biggest issue for ppl to work through), relationship history and support system
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| show | Ineffective Denial, Ineffective coping skills, altered family process, Ineffetive role performance, imbalanced nutrition, less than body requirements, constipation, diarrhea, selfcare deficit, risk for injury relaspe or complications of substance withdraw
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| show | denial and ratinalization
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| How would a nurse maintain safety for a substance abuse pt? | show 🗑
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| How would you manage physiologic alterations /substance abuse pt | show 🗑
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| show | denial ( but too much reality is hard
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| show | disease process, not character flaw
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| Suggest substance abuse pts keep and open mind about________ they are recieving | show 🗑
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| Help substance abuse pts develop discrepancy between the way they see themselves..... | show 🗑
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| How do you manage anxiety? | show 🗑
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| What kind of coping strategies do abusers usually have? | show 🗑
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| How do substance abuse pts appraise situations? | show 🗑
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| What should you teach a substance abuse pt? | show 🗑
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| How should you teach a substance abuse pt to improve self esteem? | show 🗑
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| What are healthy activites that a nurse should promote for a substance abuse pt? | show 🗑
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| show | Alcoholics Anonymous
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| show | acceptance, surrender, processing grief, higher power, power of the group
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| ____% of nurses working in most specialties & ____ % of nurse anesthesists develop addiction. | show 🗑
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| show | access to drugs, long hours, tremendous responsibility, job-related stress, family history of chemical dependence
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| show | increased irritability, mood swings, rapidly shifting, calm after drug use, withdrawn, isolative (desire nights, avoid get togethers), late for work, misses work, elaborate ex. for missing work, work quality decreases, charting is illegible, signs
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| S&S of the impaired nurse continued. | show 🗑
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| show | Seeks treatment and follows the monitoring recommendations from the board.
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