Enter Category Name
Things we could look for that would entail a coworker is utilizing drugs at work
- narcotic count is off
- makes excuses
- denying things
- performing job poorly
Medication for mild-moderate dementia
Donepezil
slows down the process
increases risk of GI bleeds
NO NSAIDs
You can expect emotional trauma
history of this trauma needs to be discussed by the clients thoughts and feelings and how it affects them
do not shy away from exploring their feelings
Occurs in a sexual violence victim
Movement problems relating to hesitation
tremors
shuffling gait
Parkinson's disease
Drugs used for opioid withdrawal
Methadone
we need to taper the client off of methadone
this is very strong opioid
safety: change position slowly-risk for falls
Clonidine: utilized for symptoms of withdrawal NOT cravings
What medication do we give once a patient has gone through alcohol withdrawal and wants to stay clean?
This will make client VERY sick if they ingest alcohol on this medication
Disulfiram/Antabuse- only help with alcohol abstinence
What should the nurse do first before they are caring for a client who has anger or aggression?
The nurse should determine how he/she responds to anger
Is the nurse able to stay calm?
What are existential questions?
Questions about existence that are unanswerable
"what is this all for?"
"Why not me?"
"How did god let this happen?"
Symptoms of moderate dementia
Aphasia- loss of speech
apraxia- loss of movement
agnosia- loss of ability to recognize objects
The most common form of sexual violence
Acquaintance violence
rape and sexual abuse occurring from an acquired friend
increased with the use of alcohol
A drug that helps control persistent alcohol symptoms that never go away
Acamprosate
Severe disorientation
hallucinations/delusions
major spikes in vitals
irregular or dangerous heart beat
Manifestations of delirium tremens
When patient is being discharged after withdrawing, it is important to educate them on:
To not hang out with the same people
do a 12 step program
allies will help the abuser be able to learn to change
abuser has to choose to change
What should you do when you suspect a coworker is using substances while on the job?
Report it to leadership or supervisor
Denial
Anger- yelling and breaking things
Bargaining
Depression
acceptance
Kohlberg Ross stages of grief
The antidote for opioids
Naloxone
reversal of fatal respiratory depression
Highest at risk for for sexual violence
Adolescent females/ young women
an abrupt or sudden onset of change of LOC and disruption to orientation and thinking
it is reversible
Delirium
causes: electrolyte imbalances, dehydration, polypharmacy, infection, hypoxia
nursing interventions: limit stimuli, have a setting with low noise and good lighting, NO TV AND NO RADIO, place client close to the nursing station
" I wouldn't use oxycodone but since she uses it, she expects me too"
projection
A slow gradual process
most commonly occurs in advanced age
this disease will worsen NOT improve
worsens until death
progressive loss of memory
Dementia
educate the family that the client will not be able to know their names anymore in the future and it is irreversible
How do we help someone wean off alcohol dependency?
For CNS overactivity: benzodiazepines
diazepam, lorazepam, alprazolam, clonazepam
For HTN and tachycardia: clonidine, atenolol, propranolol
A drug that is used for tobacco withdrawal and abstinence
Bupropion
this builds up the NE back into clients system without the need of smoking
Signs of alcohol withdrawal
CNS overactivity
Tremors, sweating, N/V, vital signs of elevated
earliest symptoms manifest very rapidly 4-12 hours after last intake of alcohol
within the 48-72 hours, the patient can develop delirium tremens, this is life threatening
Choreiform (movement problems)
unpredictable movements and look like spastic dance movements
Huntington's disease
Highest risks for family and community violence
Adult females, older adults, dependent/vulnerable adults