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22 Cards in this Set

  • Front
  • Back
benzodiazipines
chloridiazepoxide (Librium)
diazepam (Valium)
lorazepam (Ativan)
benzodiazipine intended effects (detoxification)
maintenance of the client's vitals signs within normal limits
decrease in the risk of seizures
decrease in intensity of withdrawal manifestations
benzodiazipine nursing interventions (detoxification)
administer around the clock or prn
use chlordiazepoxide only if the client is able to tolerate oral intake
otherwise, use IV route for diazepam and lorazepam
The client may continue with diazepam and lorazepam orally
obtain clients baseline vital signs
monitor vitals and neurologic status on an ongoing basis
provide for seizure precautions
adjunct meds for detoxification
carbamazepine (Tegretol)
clonidine (Catapres)
propranolol (Inderal)
adjunct meds (detoxification) intended effects
decrease in seizures- carbamazepine
depression of autonomic response (decrease in BP, HR)-clonidine and propranolol
decrease in craving propranolol
adjunct meds (detoxification) interventions
provide for seizure precautions
obtain baseline vitals, and continue to monitor on an ongoing basis
disulfiram (antabuse) abstinence maintenance meds intended effects
daily oral med that is an aversion therapy
used concurrently with alcohol will cause acetaldehyde syndrome to occur
nausea, vomiting, weakness, sweating, palpitations, and hypotension
acetaldehyde syndrome can progress to respiratory depression, cardiovascular suppression, seizures, and death
disulfiram (antabuse) abstinence maintenance meds interventions
clients of potential dangers of drinking any alcohol
avoid products that contain alcohol
monitor liver function
encourage clients to wear a medical alert bracelet
encourage clients to attend 12 step program
advise that med effects persist for 2 weeks following discontinuation of disulfiram
naltrexone (vivitrol) intended effects
pure opioid antagonist that suppresses the craving and pleasurable effects of alcohol (also used for opioid withdrawal)
naltrexone (vivitrol) nursing interventions
check history for opioid dependence- concurrent use increases risk of opiate overdose
take with meals to minimize GI upset
suggest IM injections for those with trouble following med regimen
acamprosate (Campral) intended effects
acamprosate decreases unpleasant effects resulting from abstinence (anxiety, restlessness)
acamprosate (Campral) interventions
diarrhea may result
maintain adequate fluid intake
avoid during pregnancy
methadone (dolophine) substitution
(withdrawal, abstinence of opioids) intended effects
oral opioid agonist that replaces the opioid that the client is addicted to
prevents abstinence syndrome
used for withdrawal and long-term maintenance
methadone interventions
slowly tapered to produce detoxification
participate in 12 step program
clonodine (Catapres) (withdrawal/abstinence of opioids) intended effects
withdrawal effects related to autonomic hyperactivity
(diarrhea, nausea, vomiting)
clonodine therapy does not reduce the craving for opioids
clonodine (Catapres) interventions
baseline vitals
avoid activities that require mental alertness until drowsiness subsides
chew sugarless gum or suck on hard candy etc. to treat dry mouth
buprenorphine (Subutex) intended effects
agonist-antagonist opioid used for detoxification and maintenance
decreases feelings of craving and may be effective in maintaining adherence
bupropion (Zyban) nicotine withdrawal med intended effect
decreases nicotine craving and manifestations of withdrawal
bupropion (Zyban) interventions
chew sugarless gum or suck on hard candy to relieve dry mouth
avoid caffeine and other CNS stimulants to control insomnia
nicotine replacement therapy intended effects
pharmaceutical product substitute for nicotine in cigarettes and tobacco
nicotine replacement therapy doubles rate of smoking cessation
nicotine replacement therapy interventions
do not use while pregnant or breastfeeding
varenicline (Chantix) intended use
nicotinic receptor agonist that promotes the release of dopamine to stimulate the pleasurable effects of nicotine
reduces nicotine cravings and reduces withdrawal symptoms
monitor BP, clients with DM for loss of glucose control
contraindicated for those with depression, serious mental illness, or suicidal ideation