BH substance abuse

social drinking

drinking in social settings and moderation

heavy drinking

binge drinking six or more drinks in a day

wernickes encephalopathy

thiamine deficiency acute life threatening neurological condition that is classified by ataxia and confusion, usually caused by alcoholism

how do you treat wernickes encephalopathy

high dose thiamine

korsakoffs psychosis

chronic and irreversible syndrome causing severe anterograde amnesia, caused by chronic alcohol abuse

symptoms of korsakoffs

confabulation, apathy, retrograde and anterograde amnesia, apathy, hallucinations

negative effects of cocaine

tachycardia, hypertension, low grade fever, yawning, restlessness, anxiety, diarrhea, mydriasis

negative effects of methamphetamine

psycosis, agression, weight loss, malnutrition, dental problems

negative effects of nicotine and tobacco

COPD, bronchitis, effects on reproduction, fetal development

negative effects of alcohol

liver effects, wernickes/korsakoffs, peripheral neuropathy, fetal alcohol syndrome

negative effects of anabolic-adrenergic steroids

testicular atrophy, infertility, aggression, mood swings, tendon rupture, acne

what is the definition of a substance use disorder

when use interferes with roles, or attempt to cut down fails

substances effect on the brain

the release of dopamine caused by the drugs rewards the body and leads to constant cravings

substance addiction

compulsive drug seeking and abuse despite harmful consequences

initial treatments for substance addiction

detox units, rehab, primary care, ER

nursing considerations for pain control

utilize non-opiod forms of pain control, if opioids are necessary, monitor for signs of misuse or addiction

marijuana use

causes altered perception, possible psychosis, risk of dependence, respiratory effects

communication strategies for substance abuse disorders

motivational interviewing: open ended questions, reflective listening, affirmations, summarizing

outcomes of communication for substance abuse

reduce use, improve coming, prevent relapse and harm

alcohol withdrawal delirium

medical emergency causing hypertension, changes in LOC, hallucinations

onset and duration of alcohol withdrawal delirium

begins in 6-12hrs and can last for 5-7days

nursing dx for alc withdrawal delirium

risk for injury, electrolyte imbalances, do CIWA and BNZ