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x

 
for 4th year
3 
    
p  u  
 

     



3 


x tance A e

x  
Is repeated use of alcohol or drugs leading
to functional problems.
xubstance Use Disorders

x 
  
The continued use of alcohol or drugs despite
V  V
V such as significant
problems in daily living.
x tance Addiction

O  usually refers to a behavioral


pattern of alcohol or drugs abuse
characterized by   VV  V
with the use of the drug and   V
in obtaining the drug. There is a high tendency
for relapse after discontinuation.
xubstance Withdrawal
ÿÑ  
occurs when there is a pattern of
use that escalates creating  V When
the abused substance is removed there is a
physical response to the absence of the drug.
0ype of Dr  A ed
Ô O 
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Ô  
O  

Ô m  Ocademic or job failures, marital failures,


stealing to support habit, personality change, violent
acting out
Ô Õ    u aalnutrition; abdominal
cramps; diaphoresis, yawning, lacrimation, rhinorrhea 10
hours after the last opiate injection; needle marks on arms
along path of a vein (wearing of long- sleeves); nasal
discharge with nasal septum perforation (cocaine)
Ô x u Inability to maintain ODL and fulfill role
responsibilities and obligations
pontin ed:
Ô m    u Directed toward self or others
related to feelings of suspicion or distrust; intake of
mind-altering substances; misinterpretation of stimuli
Alcohol A e and Dependence

ÿOlcohol is classified as a food product.


ÿOlcohol is a CNx m  V. It causes
behavioral changes as well as mood changes.

ÿThese changes are proportionally related to


the amount of alcohol consumed.
ÿOlcohol concentration is measured by a blood
alcohol level.
Alcohol A e

0
 develops after prolonged  
drinking. Physical tolerance or tissue
adaptation  V that cellular changes
occur in the central nervous system. xo that
more of the drug is needed by the body to
provide the desired effect.
pp     m  
  

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MÕpÕxp 

 p!
x

Ô aaintain airwayu Intubation (keep airway on hand), suction


Ô xtart IV line
Ô aonitoringu BP, respiration, pulse, temperature, LOC
Ô Prevent and control seizures; Keep in calm, quiet
environment
Ô Check for trauma, protect from injury
(If the pt shouts & walks back & forth, appropriate
nursing intervention includes seclusion, staying with the
pt, and decreasing stimuli).
Ô Odminister ordered drugs; Detoxify / treat overdose
Ô Nutritionu High-calorie, high-protein, high-vitamin
Alcohol Ind ced Diorder

  occurs after drinking excessive


amounts of alcohol and is evidenced by
maladaptive behaviors such as fighting,
impaired judgment and interference with
social and work abilities.
3actor Infl encin x tance
A e

ÿPsychosocial and Behavioral


ÿBiological
ÿTheoretical
ponideration
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