____________________
dependence
manifests
as
drinking
more
frequently
with
____________________
of
social
,
occupational
,
&
recreational
activities
along
with
unsuccessful
attempts
to
quit
drinking
.
____________________
is
needing
more
of
a
substance
to
get
the
desired
effect
.
____________________
can
involve
a
client
blaming
themselves
or
making
excuses
for
a
family
members
problems
.
You
should
monitor
____________________
____________________
due
to
links
to
Pancreatitis
&
Diabetes
in
alcoholics
.
Symptoms
of
alcohol
____________________
include
tremors
,
sweating
,
nausea
,
anxiety
,
&
____________________
mood
along
with
increased
heart
rate
&
B
/
P
.
Onset
of
withdrawal
begins
within
4
-
12
hrs
.
after
cessation
or
marked
reduction
of
alcohol
intake
peaking
on
day
2
and
____________________
in
about
5
days
.
Medication
used
for
safe
withdrawal
from
alcohol
include
the
class
of
drugs
known
as
____________________
.
One
of
the
most
common
drugs
given
during
alcohol
withdrawal
is
____________________
.
It
is
used
to
treat
anxiety
,
insomnia
&
symptoms
of
withdrawal
from
alcohol
and
other
drugs
.
An
____________________
on
benzodiazepines
would
present
as
N
/
V
,
unconsciousness
,
respiratory
depression
.
Clients
experiencing
alcohol
withdrawal
are
usually
given
a
mixture
of
nutrients
.
One
of
the
most
important
would
be
____________________
(
Vitamin
B1
)
.
Thiamine
is
a
vitamin
necessary
to
prevent
neurological
complications
from
alcohol
withdrawal
known
as
____________________
-
____________________
syndrome
.
____________________
is
a
medication
used
to
help
a
client
abstain
from
alcohol
.
It
does
this
through
causing
____________________
when
alcohol
is
ingested
.
The
use
of
disulfiram
is
considered
an
____________________
type
of
behavioral
therapy
.
Sedatives
,
Hypnotics
,
and
Anxiolytics
cause
CNS
____________________
.
____________________
injection
,
a
benzodiazepine
receptor
antagonist
(
reverses
sedative
effects
of
benzos
)
is
given
for
symptoms
of
benzodiazepine
____________________
such
as
lethargy
and
confusion
.
Medications
such
as
Amphetamines
and
Cocaine
act
as
CNS
____________________
.
Stimulants
create
a
____________________
or
euphoric
feeling
,
hyperactivity
,
hypervigilance
;
talkativeness
,
suspiciousness
,
hallucinations
,
appetite
suppression
,
____________________
pulse
and
B
/
P
.
The
nurse
should
monitor
for
emotional
____________________
,
not
eating
,
and
/
or
getting
very
little
sleep
.
The
nurse
expects
____________________
toxicity
to
cause
tremors
,
fever
,
agitation
,
hypertension
,
seizures
,
ventricular
dysrhythmias
,
&
possible
coma
.
The
nurse
would
expect
pupils
to
be
____________________
in
clients
taking
stimulants
.
Withdrawal
syndrome
from
stimulants
would
affect
mood
(
as
____________________
)
,
dreams
(
as
disturbed
)
,
sleep
(
as
increased
or
decreased
)
,
appetite
(
as
____________________
)
,
and
feelings
of
wellbeing
(
as
decreased
)
.
____________________
including
oxycodone
,
heroin
,
&
fentanyl
are
considered
CNS
____________________
.
The
nurse
expects
to
see
a
client
using
opioids
to
demonstrate
desensitization
;
____________________
,
euphoria
;
heightened
feelings
well
-
being
.
The
nurse
would
expect
pupils
to
be
____________________
in
clients
taking
opioids
.
Pinpoint
pupils
are
pupils
that
do
not
respond
to
changes
in
lighting
would
be
considered
a
sign
of
an
opioid
____________________
,
which
is
a
medical
____________________
.
Nurses
would
suspect
an
opioid
overdose
on
in
a
client
presenting
with
respiratory
____________________
,
unconsciousness
,
or
coma
.
The
nurse
would
administer
____________________
as
treatment
for
a
suspected
opioid
overdose
.
The
nurse
recognizes
that
drugs
like
____________________
are
shorter
-
acting
and
methadone
is
a
longer
-
acting
drug
.
The
nurse
would
expect
to
administer
____________________
as
a
treatment
to
decrease
the
severity
of
heroin
withdrawal
symptoms
.
____________________
drugs
like
Ecstasy
,
Ketamine
,
LSD
,
MDMA
,
Acid
,
PCP
,
Mushrooms
cause
reality
distortion
.
Nurses
expect
clients
taking
hallucinogenic
drugs
to
present
with
symptoms
like
____________________
;
hallucinations
(
usually
visual
)
,
and
depersonalization
.
The
nurse
would
expect
pupils
to
be
____________________
in
clients
taking
hallucinogenic
drugs
.
The
nurse
would
expect
to
see
possible
seizures
,
hypertension
,
hyperthermia
,
(
psychological
reactions
)
?
Bad
Trip
?
and
respiratory
____________________
in
clients
with
toxicity
from
hallucinogens
.
While
alcohol
is
the
most
used
&
abused
substance
in
all
age
groups
,
____________________
use
should
be
considered
as
a
possible
addictive
substance
source
for
____________________
and
young
adults
.
Inhalants
are
readily
available
,
legal
,
&
____________________
.
The
nurse
could
suspect
intoxication
to
present
with
neurologic
,
and
____________________
symptoms
.
A
client
who
presents
with
slurred
speech
,
ataxia
,
disorientation
,
hallucinations
,
lethargy
,
irritation
around
nose
/
eyes
&
strange
breath
odor
should
be
evaluated
for
____________________
use
.
Acute
____________________
from
inhalants
can
cause
anoxia
,
respiratory
____________________
,
vagal
stimulation
,
and
dysrhythmias
.
If
a
client
using
inhalants
experiences
bronchospasm
,
cardiac
arrest
,
suffocation
,
or
aspiration
,
____________________
could
be
possible
.
____________________
people
often
deny
having
a
problem
and
commonly
states
that
he
or
she
can
stop
using
the
drug
anytime
.
A
nurse
who
sees
a
coworker
with
poor
work
performance
,
frequent
absenteeism
or
unusual
behaviors
such
as
isolating
from
peers
,
slurred
speech
or
motor
dysfunction
should
suspect
substance
____________________
.
Substance
abuse
can
occur
in
health
professionals
.
As
such
,
nurses
have
an
____________________
,
and
legal
responsibility
to
____________________
suspicious
behavior
to
supervisor
,
charge
nurse
or
manager
.