Opioid Use Disorder
What receptor system do opioids primarily act on?
Mu-opioid receptors.
What is the hallmark symptom of anorexia nervosa?
Intense fear of gaining weight despite being underweight.
What are the two main behaviors seen in bulimia nervosa?
Binge eating and compensatory behaviors (e.g., purging, excessive exercise).
Name one symptom of opioid withdrawal.
Yawning, runny nose, sweating, anxiety, muscle aches, nausea, diarrhea.
Name one common physical complication of anorexia.
Bradycardia, hypotension, lanugo, electrolyte imbalance, amenorrhea.
Name one possible medical complication of frequent vomiting.
Electrolyte imbalance, dental erosion, esophageal tears, dehydration.
Which medication can reverse opioid overdose?
Naloxone (Narcan).
What is the primary nursing goal for a patient with anorexia during initial treatment?
Medical stabilization and restoring adequate nutrition safely.
What is a key difference between bulimia and anorexia?
Bulimia patients usually have normal weight; anorexia involves significant weight loss.
Name one medication used for medication-assisted treatment (MAT).
Methadone, buprenorphine, or naltrexone.
Why is it important to monitor electrolytes during refeeding?
Risk of refeeding syndrome (sudden fluid/electrolyte shifts causing cardiac issues).
What is one therapeutic goal for bulimia treatment?
Normalize eating patterns and reduce binge-purge behaviors.
What is a key nursing approach when caring for clients with substance use disorder?
Use nonjudgmental, compassionate communication and promote harm reduction.
What type of communication helps build trust with patients who have anorexia?
Nonjudgmental, consistent, and supportive interactions focusing on feelings, not food.
Why is cognitive-behavioral therapy effective for bulimia?
It helps change distorted thoughts about body image and control unhealthy eating behaviors.