Alcoholism

Dont forget about Maslow!

Rank Maslow’s needs

1. Physiological

2. safety

3. comfort

4. psychological

5. social

6. spiritual

Physiological needs (#1)

objective

Comfort needs (#3)

subjective from pt

Spiritual (#6)

“Hope”, “Hopelessness” in NCLEX questions

Social (#5)

homelessness on NCLEX

What is denial? How do you treat it?

-refusal to accept reality of problem

CONFRONT IT!

How do you treat loss/grief?

COMFORT - SUPPORT

What is dependency?

abuser gets someone to do things for them

What is co-dependency?

other derives POSITIVE SELF ESTEEM from doing things for abuser

How do you treat co-dependency?

Set limits

Enforce those limits

Work on self esteem of co-dependent

What is manipulation?

Abuser gets other to do things for them that aren’t in their best interest

DANGEROUS

How do you treat manipulation?

Set limit

What is Wernicke-Korsakoff Syndrome?

Dementia caused by LACK of thiamine B1

causes memory loss, amnesia

irreversible

What are the two medications for alcoholism?

Disulfiram

Naltrexone

—>adjuvant therapy

How many weeks for onset of Dilsulfiram?

TWO weeks onset

NOT SAFE WITH ALCOHOL

How many weeks for offset of Naltrexone?

TWO weeks offset

NOT SAFE WITH ALCOHOL

Every abused drug is either an…?

Upper or Downer

What are uppers?

caffeine

cocaine

PCP/LSD

amphetamines

ADHD

bath salts

What are the symptoms of uppers?

ANYTHING INCREASED, UP!!

tachycardia

INC BP

INC temperature

agitation

seizure

hyperreflexia

diarrhea

borborygmi (hyperactive BS)

What are downers?

ANYTHING DECREASED, DOWN!

Quaaludes

Dilaudid

Marijuana

Codeine

Fentanyl

hydroxyzine

lorazepam

so on….

What are symptoms of downers?

What is overdose?

Too MUCH drug

What is withdrawal?

not ENOUGH drug

Delirium Tremens?

-minority of alcoholics within 72 hours.

-CAN BE FATAL

-need private room near nurse station

clear liquid, NPO diet

restricted bed r

Alcohol Withdrawal Syndrome?

every alcoholic gets AWS within 24 hours

-not life-threatening

semi-private room anywhere

regular diet

up ad-lib