O magnesium à for twitching of muscles obehavioral

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o Magnesium à for twitching of muscles o Behavioral interventions for sleep Trazodone for sleep if needed o Librium or Ativan Librium is used because giving a benzo would cause respiratory depression that would be too severe in someone who is drinking (CNS depressants) Ativan can be used but the person cannot be intoxicated o Haldol Delirium Tremens (DTs) o Life threatening Mortality rate of 15% o Signs and symptoms à agitation, delusions, elevated temperature, cardiac arrhythmias, visual hallucinations o May use anticonvulsants Antabuse —reduces the risk of relapse à any alcohol at all will make you violently ill o Do not take for 12 hours after ingesting alcohol o Abstain for at least 2 weeks before stopping o Do not use other products with alcohol: Cough medicines, mouthwashes, etc. o This is a type of aversion therapy Follow-Up Treatment o 12-step programs o Education for families (co-dependency) o Counseling 7
Exam 2 Study Guide—NUR333 Katy Needle o Motivational Interviewing Making the patient feel comfortable so they trust you and you can elicit change and push the patient towards changing behavior Care Continuum o Detoxification o Rehabilitation o Halfway houses o Other housing o Partial hospitalization o Intensive outpatient (IOP) treatment o Outpatient treatment Relapse Prevention o Alcoholics Anonymous o Gamblers Anonymous o Support groups for partners o Support groups for children of addicts (Alateen) Opioid Addiction o Naloxone (Narcan) Can be given as a nasal spray Works fairly immediately (<5minutes) Fully in 60-90 minutes Patient will wake up agitated—you essentially threw them into withdrawal and out of their euphoria in less than 5 minutes o Opioid withdrawal Flu-like symptoms Mydriasis (pupil dilation) Rhinorrhea “Hypers”: Increased pulse, blood pressure, and body temperature o Heroin intoxication Euphoria, impaired coordination, dizziness, nausea, slowed or arrested breathing o Heroin Detoxification Short inpatient stay à 2-3 days Observe respiratory status à slowed breathing, wheezing, apnea o Methadone Reduces instances of relapse to opioids Must adhere to all appointments Random urine screening 12-step or other abuse counseling Educate on proper use and storage of medication o Naltrexone (Vivitrol) Must be drug free for two weeks before using it Works for all drugs and alcohol addictions Treatment of PCP 8
Exam 2 Study Guide—NUR333 Katy Needle o Non-stimulating environment, increase fluids; use seizure precautions o Remind patient that hallucinations are not real Lisa Goyette à 401 632 6529 9
Exam 2 Study Guide—NUR333 Katy Needle Eating Disorders Especially prevalent in late teens and early 20s Anorexia is very common in Europe, America, and Canada à highest mortality rate of any psychiatric disorder; very hard to treat o Biological vulnerability and environmental stressors make some people especially susceptible o Genetic, social, and psychological factors à school nurses can make a huge difference by providing education

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