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is…(contamination) ii. If on floor, change out iii. If on chest, clean with alcohol then put back on
- Respiratory Alkalosis (Overventilation) means ventilator settings
- Respiratory Acidosis (Underventilation) means ventilator settings
- To “Wean” ! To gradually and incrementally decrease with the goal of
may be too HIGH.
may be too LOW.
ridding all together
ALCOHOLISM
Note: Remember in a psych question if you are asked to prioritize
DO NOT forget Maslow! Use the following priorities:
- Physiological
- Safety
- Comfort
- Psychological
- Social
- Spiritual
Also, ALL PSYCH PATIENTS START AS MED SURG
PATIENTS…RULE OUT ALL FEASIBLE MED ANSWERS BEFORE
PICKING PSYCH ANSWERS
1.Psychodynamics of Alcoholism a.The #1 psychological problem in abuse is DENIAL.i.
Definition:
1.Refusal to accept the reality of their problem.ii.
Treatment:
1.Confront it by pointing out to the person the difference between what they say and what they do.
2.In contrast, support the denial of loss and grief (BC the use of denial is serving a functioning person)
b.
DEPENDENCY/CODEPENDENCY
i.
Dependency:
When the abuser gets the significant other to
do things for them or make decisions for them.ii.
Codependency:
When the significant other derives positive self-esteem from doing other things for or making decisions for the abuser.
iii.
Treatment:
1.Set boundary (limits) and enforce them. Agree in advance on what requests are allowed then enforce the agreement
2.Work on the self-esteem of the codependent person.
c.
MANIPULATION
i.
Definition:
When the abuser gets the significant other to do things for him/her that are not in the best interest of the Significant Other. The nature of the act is dangerous or harmful to the significant other
ii.
Treatment:
1.Set limits and enforce 2.Its easier to treat than dependency/codependency because nobody likes to be manipulated
- Wernicke’s (Korsakoff’s) Syndrome
a.Psychosis induced by Vitamin B1 (Thiamine) deficiency.b.
Primary symptom:
amnesia with confabulation (making up stories to fill in memory loss—believe as true)
c.
Characteristics:
i.Preventable 1.By giving B1 vitamins ii.Arrestable 1.Can stop from getting worse- not imply better iii.Irreversible 1.Dementia symptoms don’t get better—only worse
- Antabuse/Revia
a.Disulfiram (drugs used for alcoholism b.Aversion Therapy c.
Onset and duration of effectiveness: 2 weeks
i.Take drugs 2 weeks and builds up in blood to a level that when drinking alch will become horribly sick; if off for two weeks, will be able to drink without sickness again
d.
Patient teaching:
Avoid ALL forms of alcohol to avoid nausea,
vomiting, and possibly death, including:
i.Mouthwash, aftershave, perfumes/cologne, insect repellant,
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