Real Life RN Mental Health Alcohol

CAGE questionnaire fall risk assessment numeric pain scale BRADEN

Have you ever felt bad or guilty about your drinking?

Lorazepam Parozetine (paxil)-- antidepressant and is not used to tx acute alcohol withdrawal

Situation: At 0200, discovered client lying at foot of bed, disheveled, saline lock dangling from arm. Client awake and responsive. Background: 45 year-old-white male who had MVA yesterday at approximately 1400. Admitted by ambulance in acute alcohol intoxication with abrasions and accompanied by police. History of gastritis and esophagitis. Transferred to medical-surgical unit. No change in status prior to this time. Assessment: Alert to person and place, but not time. States he has nausea with dry heaves. Moderate tremor of upper extremities. Appears moderately anxious and restless. No auditory or visual disturbances. States: "I feel the bugs all over me." Reports mild headache. Vital signs: BP 160/94; T 37.9; P 106, and R 24, which are elevated from midnight findings. CIWA score of 23. Recommendation: Needs antiemetic and medication for agitation and withdrawal.

Have suction equipment available in Mr. Moore¶s room Suction equipment is needed as part of seizure precautions.

Promote a low-stimulation environment A low-stimulation environment promotes rest and energy conservation, and is calming for the client

300

This medication works on the nervous system to prevent encephalopathy A deficiency of thiamine can result in Wernicke-Korsakoff syndrome.

Mr. Moore talks to Social Worker Eva about going out for drinks at the end of the day with other construction workers option 4 The client uses denial when he refuses to admit he has an alcohol use disorder while talking with the social worker.

So you don't think you're an alcoholic? This is an appropriate use of the therapeutic technique of restating.

Tell him in a firm voice to stop his behavior

In an intensive outpatient program, care will be individualized to meet your treatment needs. Intensive outpatient programs are responsive to the specific needs of the client.

Naltrexone Tipiramate

throbbing headache

Encourage Mr Moore to write important info in a notebook