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21 Cards in this Set

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What is alcohol abuse?
Excessive alchohol consumption that leads to medical, behavioral, or social changes in an individual.
Alcoholism?
A dependence on alcohol.
Identify four conditions that may mimic alcohol intoxication?
Drug Intoxication
Brain tumor
Hypoglycemia
CNS infection
Head injury
Stroke
Postictal state
Diabetic Ketoacidosis
Hypoxia
Alcohol Withdrawal syndrome
Physical reactions a person experiences when he or she abruptly stops consuming alcohol.
Delirium Tremens
A severe sate of alcohol withdrawal consisting of delirium, hallucinations, and nervous system hyperactivity.
Describe Alcohol withdrawal syndrome?
Reactions include: The shakes occur within 24 hours, the patient is shaky and tremulous and has a mild sleep disturbance. Eye's bloodshot and BP elevated.

Withdrawal seizures - such as a grand mal seizures may occure within 24-48 hours.

Delirium tremens.
Disulfiram
Some patients with chronic alcohol abuse problems are on a medication call Disulfiram (trade name Antabuse) Causes violent reaction in the body if the patient takes Alcohol.
Identify five major classes of abused drugs?
Stimulants, Depressants, Hallucinogens, Narcotics, and Volatile chemicals.
Describe the care given to patients suspected of alcohol or drug abuse.
Maintain Airway, O2 nasal 3/4 L
Suction/vomitting
Law enforcement/poison control
Medical direction
ECG
IV lifeline
Monitor for shock
Restrain don't be hero
Behavioral Emergency
is a situation in which the patient feels he or she has in some way lost control of his or her life.
Stimulants
(Uppers) stimulate the central nervous system. Cocaine is the most widely used drug in this category. Speed, caffeine, nd thyroid medication...and Meth.
Symptoms: hyperactivity, euphoria, tachycardia, hypertension, dilated pupils,
Depressants
(downers) depress the cental nervous system. Marijuana, barbiturates, sleeping pills, tranquilizers.
Symptoms - sluggishness, poor coordination, slurred speech, decreased respiration, respiroary arrest,
Hallucinogens
include the sense of euphoria and hallucinations. LSD is ex. PCP may result in suicidal and extremely violent behavior.
Symptoms - hallucinations, unpredictable behavior, tachypnea, nausea, dilated pupils, high pulse and BP.
Narcotics
heroin, morphine, codeine, vicodin, Darvon. Oxycontin.

Symptons - drowsiness, imparied cooridination, sweating, respirarory depression, constricted pupils, shock.
Volatile chemicals
aerosols, glue, gasoline.

Inhale or ingest may have altered level of responsiveness, swollen mucous membranes mouth and nose, increase in pulse and RR. Respiratory distress and nausea.
Describe the care given to patients suspected of alcohol and drug abuse.
Airway, O2-nasal 3/4L, vomitting/suction, law/poison control, ECG, IV, prepare for shock, Restrain patient, no not be a hero/judgemental.
Describe general methods to approach and treat persons with behavioral emergencies?
Build good rapport with the patient.
Describe everything you are going to do
No sudden moves

Have a partner with you
Make sure their is an exit
let patient express verbally instead of physically
Avoid eye contact.

Ask patient to sit.
Neurosis
An anxious reaction to a perceived fear.
Psychosis
A mental condition, whereby the patient has lost his or her sense of reality.
Differentiate between neurosis and psychosis?
Neurosis is normal fears, psychosis is when they are in a make believe land, but feel everything is real.
Describe three signs of depression
Unkempt appearance
Speech different than normal
Frequent crying bouts
Abnormally increased or decreased appetite
Sleep disturbances