Medical-Surgical Nursing, 10th Ed., Lewis, Dirksen, Heitkemper & Bucher |  Registered Nurse (RN) School Study Aid
Substance Use Disorder Assessment (Formerly Substance Abuse Assessment)
- Changes in Mood
 - Poor Hygiene
 - Odd Sleep Patterns
 - Frequent Injuries
 - Relationship or Job Difficulty
 - Poor Performance
 - Anorexia OR Weight Loss
 - Social Isolation
 - Financial Problems
 
Alcohol Use Disorder Assessment (Formerly Alcohol Abuse Assessment)
- CNS Depression
 - Wernicke-Korsakoff Syndrome
 - GI Distress
 - Cardiomyopathy
 - Pancreatitis
 - Cirrhosis
 - Immunosuppression
 - Sexual Dysfunction
 - Screening (Assessments)
 
Bupropion
- Depression
 - Smoking Cessation
 - Increase Dopamine and NE
 - Stimulant Side Effects
 - Seizure
 
Alcohol Use Disorder Interventions (Formerly Alcohol Abuse Interventions)
- Reduce Environmental Stimuli
 - Antianxiety Medications
 - Vitamin Supplements
 - Seizure Precautions
 - Suicide Precautions
 - Fever
 - Identify Support Systems
 - Group Therapy
 - Disulfiram
 - Naltrexone
 
CNS Stimulants
- Attention Deficit Hyperactivity Disorder (ADHD)
 - Obesity
 - Increase Catecholamines at Synaptic Cleft
 - Increase Norepinephrine
 - Increase Dopamine
 - Methylphenidate (Ritalin)
 - Methamphetamine
 - Potential for Abuse
 
CNS Stimulant Indications
- Amphetamine
 - Methylphenidate (Ritalin)
 - Increased Norepinephrine
 - Increased Dopamine
 - Attention Deficit Hyperactivity Disorder (ADHD)
 - Obesity
 - Narcolepsy
 
CNS Stimulant Side Effects
- Agitation
 - Insomnia
 - Hypertension
 - Tachycardia
 - Tics
 - Anorexia
 - Tolerance Develops
 - High Risk of Abuse and Dependence
 
Magnesium Sulfate
- Muscle Relaxant
 - Preterm Labor Contractions
 - Preeclampsia
 - Warm Feeling
 - Hypotension
 - Decreased Deep Tendon Reflexes (DTRS)
 - Decreased Respiratory Rate
 - Decreased Urine Output
 - Paralytic Ileus
 - Calcium Gluconate
 
Valproic Acid (Depakote)
- Blocks Na+ Channels
 - Increases GABA Concentration
 - Tonic-clonic Seizures
 - Bipolar Disorder
 - Migraine Prophylaxis
 - Hepatotoxicity
 - Blood Dyscrasias
 - GI Distress
 - Tremor
 - Pancreatitis
 
Diazepam (Valium)
- Anxiety
 - Seizures and Status Epilepticus
 - Muscle Spasms
 - Alcohol Withdrawal
 - Dizziness/Vision Changes
 - Confusion/Amnesia
 - Urinary Incontinence
 - Behavioral Changes
 - Respiratory Depression
 - Flumazenil (Romazicon)
 - Fall Precaution
 - Do Not Stop Abruptly
 
Amphetamines Intoxication Assessment
- Euphoria
 - Insomnia
 - Mydriasis
 - Diaphoresis
 - Hypertension
 - Tachycardia
 - Paranoia
 - Anxiety
 - Anorexia
 - Seizures
 
Carbamazepine (Tegretol)
- Inactivates Na+ Channels
 - Seizures
 - Bipolar Disorder
 - Trigeminal Neuralgia
 - Nystagmus
 - Ataxia
 - Hepatotoxicity
 - Blood Dyscrasias
 - Water Retention
 - Stevens-Johnson Syndrome
 - Avoid Grapefruit Juice
 
Vitamin B1 (Thiamine)
- Carbohydrate Metabolism
 - Dietary Deficiency
 - Beriberi
 - Wernicke-Korsakoff
 - Alcoholics Highest Risk
 - Give Before Glucose
 - Give IM or IV
 - Enriched Whole Grains
 - Pork
 
Opioid Use Disorder and Withdrawal Assessment (Formerly Opioid Abuse and Withdrawal Assessment)
- Euphoria
 - Miosis
 - CNS Depression
 - Yawning
 - Gooseflesh
 - Sweating
 - Rhinorrhea
 - Kicking Movements
 - Naloxone
 
Phenobarbital (Barbiturates)
- Barbiturate
 - Seizures
 - Ataxia
 - Paradoxical Excitement
 - Fatigue/Drowsiness
 - Monitor Plasma Levels
 - High Potential for Abuse
 
Benzodiazepine Intoxication Assessment
- Drowsiness
 - Confusion
 - Respiratory Depression
 - Hypotension
 - Coma
 - Flumazenil (Romazicon)