1. Safe alcohol withdrawal usually is accomplished with the administration of which medication classifi-
... [Show More] cation?
a. Anticonvulsants
b. Antipsychotics
c. Antidepressants
d. Benzodiazepines
2. What are the physical con- sequences of thiamine de- ficiency in chronic alcohol use?
3. Define tolerance as it re- lates to physical addiction to a substance.
4. Describe two types of tox- ic reactions that can occur with the use of hallucino- gens.
d. Benzodiazepines
Rationale: Benzodiazepines are used for safe withdrawal of alcohol.
-Vitamin B1
1) peripheral neuropathy: pain, burning, tin- gling, prickly sensations of extremities
2) alcoholic myopathy: sudden onset of mus- cle pain, swelling, and weakness; reddish tinge in urine (myoglobin), rapid rise in muscle en- zymes in the blood
3) Wernicke's Encephalopathy (most serious form of thiamine deficiency): paralysis of ocu- lar muscles, diplopia, ataxia, somnolence, stu- por4) Korsakoff's Psychosis: confusion, loss of recent memory, confabulation
tolerance: occurs when the initial dose of a substance loses its effectiveness over time.
Physical addiction: a compulsive or chronic re- quirement. The need is so strong as to generate distress if left unfulfilled
-includes intensification of perceptions, deper- sonalization, derealization, illusions, hallucina- tions, and synesthesiass/s of PCP intoxica- tion: impulsiveness, impaired judgement, as- saultiveness, belligerence, or appears calm, stuporous, or comatose
5. What is substitution thera- py?
6. Substitution thera-
py for-alcohol-opioids-de- pressants-stimulants
7. Which stage of grief ac- cording to Kubler-Ross?"I never want to see you again!"
8. Which stage of grief according to
Kubler-Ross?"Cancer. It can't be! You must have made a mistake!"
9. Which stage of grief ac- cording to Kubler-Ross?
"At last I feel at peace with myself."
10. Which stage of grief ac- cording to Kubler-Ross?
"I'll go to church every Sunday if I can just live un- til my daughter grows up."
-various medications have been used to de- crease the intensity of symptoms in an individ- ual who is withdrawing from, or who is experi- encing the effects of excessive use of, alcohol and other drugs
1) alcohol: benzodiazepines; ex: Chlor- diazepoxid, oxazepam, loreazepam, diazepam
2) Opioids: intoxication is treated with Nalox- one; addiction treated with buprenorphine,
3) Depressants: Phenobarbital.
4) Stimulant: treatment of stimulant intoxication because with chlordiazepoxide and haloperidol
Anger
Denial
Acceptance
Bargaining
11. Which stage of grief ac- cording to Kubler-Ross?
"I wish I had been a better mother."
12. Which stage of grief ac- cording to Kubler-Ross?
"Why me? I don't deserve this!"
13. Which stage of grief ac- cording to Kubler-Ross?"
I feel as though I'm be- traying my family. They de- pend on me so."
14. Which stage of grief ac- cording to Kubler-Ross?
"I'm feeling much better today. I think I should get a second opinion."
15. Which stage of grief ac- cording to Kubler-Ross?
"My family is ready, and so I can rest easy now."
16. Identify whether the fol- lowing behaviors are at- tributable to normal griev- ing or clinical depression.
The individual openly ex- presses anger.
Depression
Anger
Depression
Denial
Acceptance
Normal grieving
17. Anhedonia (Lack of plea- sure) is prevalent.
18. A persistent state of dys- phoria (feeling unhappy uneasy or unwell) exists.
19. Feels more depressed on some days than others.
20. Self-esteem seems unaf- fected.
21. Expresses chronic physi- cal complaints.
22. Feelings of depression are related to a specific loss.
Clinical depression Clinical depression
Normal grieving Normal grieving Clinical depression
23. . Holds anger inside. Clinical depression [Show Less]