for Nurses
What is impairment? - ✔ ✔ Failure to fulfill major obligations at
work, school, or home.
What is substance abuse? - ✔ ✔ Periodic purposeful use of a
substance that leads to clinically significant impairment. About 8.7% of
US population have substance abuse.
What is dependence/addiction? - ✔ ✔ Symptoms of compulsive
use, tolerance, and withdrawal symptoms on discontinuation.
What are illicit substances? - ✔ ✔ Any chemical that alters biologic
function and is not required for health maintenance.
How do you screen for substance abuse? - ✔ ✔ Comprehensive
drug abuse screening
Brief drug abuse screening
Alcohol abuse screening
Drug and alcohol abuse screening
What is used for quick assessment for substance abuse? - ✔ ✔
CAGE
Cut down
Annoyed
Guilt
, Eye opener
What are the withdrawal symptoms for Alcohol? - ✔ ✔ Visual and
auditory hallucinations, seizures.
What are some treatments for Alcohol abuse? - ✔ ✔ Assess
hydration, electrolytes, nutritional status
Thiamine and multiple vitamins
Benzodiazepines for detoxification: fixed dose schedule and symptom
triggered medication regimen.
What are some Alcohol relapse prevention medication used? - ✔ ✔
Disulfiram (Antabuse), Naltrexone (ReVia), Acamprosate (campral),
(more success when naltrexone and acamprosate used together.)
What does Disulfiram (Antabuse) medication do? - ✔ ✔ Helps
reduce the desire for alcohol by causing nausea and vomiting with
ingestion of alcohol.
What does Naltrexone (ReVIA) medication do? - ✔ ✔ Blocks the
effects of the high.
What does the Acamprosate (Campral) medication do? - ✔ ✔
Promotes abstinence
What are the withdrawal symptoms of Opioids Cocaine? - ✔ ✔
Mood swings, impaired memory, slurred speech, anxiety,
restlessness, sweating, etc..
What are the treatments for Opioids Cocaine addiction? - ✔ ✔ May
substitute with another opioid to reduce severity of withdrawal
symptoms