Case Alcoholism – Flashcards
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A Screening Test for Alcohol Dependence
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CAGE
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1. Have you ever felt you should ... down on your drinking? 2. Have people .... you by criticising your drinking? 3. Have you ever felt bad or ... about your drinking? 4. Have you ever had a drink first thing in the morning to steady your nerves or get rid of a hangover (...-opener)?
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CUT,annoyed,guilty,eye
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"yes" to two of the four questions on the CAGE questionnaire. What should the nurse do next Further assess the client's drinking behaviors. Further assessment is needed to make a diagnosis of alcoholism, because the CAGE questionnaire is only a ... tool to identify alcohol abuse.
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screening
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Which question is most likely to predict the ONSETof withdrawal symptoms if the client is dependent on alcohol? "When did you last have something to drink?" This question is important and can predict the onset of withdrawal symptoms, since withdrawal can begin as early as ...to... hours after substance use.
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4,6
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Liver disease can cause a change in tissues of the liver and result in an elevation of .../... . The amount of ... in the blood is directly related to the number of damaged cells
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SGOT/AST, SGOT
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The goals of acute management of alcohol detoxification begin with stabilizing the client physically and maintaining normal vital signs.
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...
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Vital signs are an objective measure of alcohol withdrawal, especially when the diastolic blood pressure, pulse, and temperature are near or above 100.Vital signs at least every ... hours.
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4
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ALCOHOL WITHDRAWL SYMPTOMS: tremors, nausea, and vomiting, other symptoms of early withdrawal include elevated vital signs, diaphoresis, insomnia, and decreased concentration.
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...
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excessive sweating
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diaphoresis
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continuous quivering or shaking.
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tremors
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What mechanism of action accounts for symptoms of alcohol withdrawal delirium Increased ..... Alcohol intake represses GABA, which inhibits dopamine and keeps dopamine levels low. When alcohol is eliminated, dopamine rebounds above the normal level, resulting in excitation and alterations in thought, perception, and orientation
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dopamine
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Benzodiazepines ... the effects of GABA, which has a calming effect.
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potentiate
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increase the effect of or act synergistically with (a drug or a physiological or biochemical phenomenon)
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potentiate
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A major site of alcohol absorption is in the small intestine, which interferes with adequate ... and all B vitamin absorption.
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thiamine B1
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Vitamin B deficiency can cause .... disease
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Wernicke's
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Characterized by confusion, loss of memory, staggering gait, and an inability to focus the eye. In the absence of permanent brain damage, can be treated by giving the patient Vitamin B1.
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Wernicke's disease
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Antabuse .... the absorption of alcohol and raises the level of acetaldehyde, causing a severe reaction when alcohol is ingested.
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inhibits
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a drug used in the treatment of alcoholism
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Antabuse
