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Nursing: A Concept-Based Approach to Learning, Volume 2, 3rd Ed. | Registered Nurse (RN) School Study Aid

Substance Use Disorder Assessment (Formerly Substance Abuse Assessment)

Changes in Mood

Poor Hygiene

Odd Sleep Patterns

Frequent Injuries

Relationship or Job Difficulty

Poor Performance

Anorexia OR Weight Loss

Social Isolation

Financial Problems

2 mins

Alcohol Use Disorder Assessment (Formerly Alcohol Abuse Assessment)

CNS Depression

Wernicke-Korsakoff Syndrome

GI Distress

Cardiomyopathy

Pancreatitis

Cirrhosis

Immunosuppression

Sexual Dysfunction

Screening (Assessments)

3 mins

Alcohol Use Disorder Interventions (Formerly Alcohol Abuse Interventions)

Reduce Environmental Stimuli

Antianxiety Medications

Vitamin Supplements

Seizure Precautions

Suicide Precautions

Fever

Identify Support Systems

Group Therapy

Disulfiram

Naltrexone

2 mins

Naloxone (Narcan)

Competitive Opioid Receptor Antagonist

Opioid Induced CNS Depression

Severe Nausea and Vomiting

Excitable State

Opioid Withdrawal Symptoms

Repeated Dosing Often Required

1 min

Phenytoin (Dilantin)

Blocks Na+ Channels

Tonic-clonic Seizures

Ataxia

Nystagmus

Sedation

Gingival Hyperplasia

Purple Glove Syndrome

Hirsutism

Rash

Anemia

Individualized Dosing

2 mins

Carbamazepine (Tegretol)

Inactivates Na+ Channels

Seizures

Bipolar Disorder

Trigeminal Neuralgia

Nystagmus

Ataxia

Hepatotoxicity

Blood Dyscrasias

Water Retention

Stevens-Johnson Syndrome

Avoid Grapefruit Juice

2 mins

Valproic Acid (Depakote)

Blocks Na+ Channels

Increases GABA Concentration

Tonic-clonic Seizures

Bipolar Disorder

Migraine Prophylaxis

Hepatotoxicity

Blood Dyscrasias

GI Distress

Tremor

Pancreatitis

1 min

Bupropion

Depression

Smoking Cessation

Increase Dopamine and NE

Stimulant Side Effects

Seizure

1 min

Vitamin B1 (Thiamine)

Carbohydrate Metabolism

Dietary Deficiency

Beriberi

Wernicke-Korsakoff

Alcoholics Highest Risk

Give Before Glucose

Give IM or IV

Enriched Whole Grains

Pork

2 mins

Acute Gastritis

Erosive

Disruption of Mucosal Barrier

Caused by Stress

NSAIDs (Non-Steroidal Anti-Inflammatory Drugs)

Alcohol

Uremia

Burns

Curling's Ulcer

Brain Injury

Cushing Ulcer

Increase H+ Production

1 min

Chronic Gastritis

Type A

Fundus and Body

Autoimmune

Autoantibodies to Parietal Cells

Pernicious Anemia

Achlorhydria

Type B

Most Common Type

Helicobacter pylori

Antrum

Increased Risk of MALT Lymphoma

HIV/AIDS

Crohn's Disease

3 mins

Cocaine Intoxication Assessment

Euphoria

Delusions

Mydriasis

Hallucinations

Agitation

Hypertension

Arrhythmias

Hyperthermia

Seizures

Nasal Septum Perforation

2 mins

Marijuana Intoxication Assessment

Euphoria

Slowed Reaction Time

Conjunctival Injection

Increased Appetite

Anxiety

Social Withdrawal

Paranoid Delusions

2 mins

Phencyclidine (PCP) Intoxication Assessment

Violent Behavior

Motor Issues

Nystagmus

Increased Pain Tolerance

Tachycardia

Delirium

Seizures

Psychosis

2 mins

Opioid Use Disorder and Withdrawal Assessment (Formerly Opioid Abuse and Withdrawal Assessment)

Euphoria

Miosis

CNS Depression

Yawning

Gooseflesh

Sweating

Rhinorrhea

Kicking Movements

Naloxone

1 min

CNS Stimulants

Attention Deficit Hyperactivity Disorder (ADHD)

Obesity

Increase Catecholamines at Synaptic Cleft

Increase Norepinephrine

Increase Dopamine

Methylphenidate (Ritalin)

Methamphetamine

Potential for Abuse

57 secs

Amphetamines Intoxication Assessment

Euphoria

Insomnia

Mydriasis

Diaphoresis

Hypertension

Tachycardia

Paranoia

Anxiety

Anorexia

Seizures

2 mins

Benzodiazepine Intoxication Assessment

Drowsiness

Confusion

Respiratory Depression

Hypotension

Coma

Flumazenil (Romazicon)

2 mins

Benzodiazepine Antidote

Flumazenil

40 secs

Phenobarbital (Barbiturates)

Barbiturate

Seizures

Ataxia

Paradoxical Excitement

Fatigue/Drowsiness

Monitor Plasma Levels

High Potential for Abuse

1 min

Meperidine (Demerol)

Opioid Receptor Agonist

Moderate to Severe Pain

Post Anesthesia Shivering

Tremors

Constipation

CNS Depression

Sedation

Short Term Administration

Increased Risk Serotonin Syndrome

Does NOT cause Miosis

Renal Failure Increases Toxicity Risk

2 mins

Morphine

Opioid Receptor Agonist

Pain

Myocardial Infarction

Nausea and Vomiting

CNS Depression

Biliary Colic

Constipation

Increased Intracranial Pressure (ICP)

Pupillary Constriction

Hypotension

2 mins

LSD Intoxication Assessment

Psychosis

Perceptual Distortion

Visual Hallucinations

Paranoia

Depersonalization

Anxiety

Tachycardia

Flashbacks

2 mins

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