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29 Cards in this Set

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Symptoms of intoxication on alcohol

1. Slurred speech


2. Unsteady gait


3. Lack of coordination


4. Impaired attention, judgement, concentration, memory

4

Symptoms of overdose of alcohol

1. Vomiting


2. Unconsciousness


3. Respiratory depression


4. Hypotension

4

Treatment for alcohol overdose

1. Gastric lavage


2. Dialysis


3. Support respiratory and cardiovascular functioning

3

Physiological effects of long term alcohol use

1. Cardiac myopathy


2. Wernicke's encephalopathy


3. Korsakoff's psychosis


4. Pancreatitis


5. Esophgitis


6. Hepatitis


7. Cirrhosis


8. Leukopenia


9. Thrombocytopenia


10. Ascites

10

Symptoms of alcohol withdrawal usually begin

4-12 hours after cessation

Symptoms of alcohol withdrawal

1. Coarse hand tremors


2. Sweating


3. Elevated pulse


4. Elevated blood pressure


5. Insomnia


6. Anxiety


7. Nausea/vomiting

7

Sign of severe or untreated alcohol withdrawal

Delirium tremens

1

Becauss alcohol withdrawal is life threatening, __________ needs to be accomplished under medical supervision

Detoxification

Clients only admit in the hospital if

1. Withdrawal is severe


2. They cant abstain from alcohol

How long is the stay typically for alcohol withdrawal?

3 to 5 days

Drug therapy for alcohol withdrawal

1. Benzodiazepine suppress withdrawal symptoms


2. Symptom triggered dosing

The point of taking sedatives hypnotic and antiolytic is for

Drowsiness and reduce anxiety

Intoxication symptoms of sedative, hypnotic, and anxiolytic

Same as alcohol adding labile mood

Treatment for benzodiazepine overdose

Gastric lavage followed by ingestion of charcoal ad saline cathartic

Symptoms of bariturates

1. Death


2. Coma


3. Respiratory arrest


4. Cardiac failure

Treatment for barbiturate overdose

ICU gastric lavage or dialysis

Onset of withdrawal for sedatives depends on...

The half-life of the drug

Withdrawal syndrome for sedatives

1. Autonomic hyperactivity (increased pulse, heart rate, blood pressure, respirations and temp)


2. Hand tremors


3. Insomnia, anxiety, nausea, psychomotor agitation


4. (Only for severe benzodiazepine OD) seizures and hallucinations

Treatment for sedatives withdrawal

Detoxification by tapering

Inhalant intoxication symptoms

Dizziness, nystagmus, lack of coordination, slurred speech, unsteady gait, tremor, muscle weakness, blurred vision, anoxia, respiratory arrest, vagal stimulation, dysrhythmias

Treatment for inhalant intoxication

Supporting respiratory function and cardiac functioning until substances passes cuz there in no antidote for inhalants

Withdrawal symptoms for inhalants

None

Current treatment modalities for drug use is based on

Concept that the addiction is a medical illness that is progressive, chronic, and characterized by remission and relapses

Purpose of pharmacologic treatment

1. Permit safe withdrawal from alcohol and sedatives


2. Prevent relapse

Lorazepam (Ativan)

Alcohol withdrawal

Chlordiazepoxide (Librium)

Alcohol withdrawal

Disulfiram (Antabuse)

Maintain abstinence from alcohol

Acamprosate (Campral)

Suppress alcohol cravings

Levomethadyl (Orlaam)

Maintains abstinence from opiates