PACK 2026 FULLY SOLVED MATERIAL
◉ Sequence of Withdrawal: Stage No. 3. Answer: 96 hrs to 2 wks
after last drink:
-disorientaton
-global confusion
-hallicinations
-delirium
-hyperthermia/perspiration
-HTN, tachycardia, tachypnea
-generalized tonic-clonic seizures
*DTs present- MEDICAL EMERGENCY*
◉ Alchol Nursing Considerations. Answer: -electrolyte labs (K, Mg-
Ca if n/v/d)
-seizure precautions
-monitor for toxicity (ataxia, nystagmus)
-orient to reality
-establish trust
*highest priority is safety*
,◉ ETOH. Answer: ethyl alcohol
◉ What are common drugs used for supportive care during alcohol
withdrawal?. Answer: *Ativan*, Valium, Librium
-metabolized in the liver (be careful)
-use Ativan due to short acting for acute care
◉ Alcoholism Support Groups. Answer: AA
NA
Frest Start
SMART recovery
-Alanon (for families around the addict)
◉ Alcohol Withdrawal Vitamin Replacements. Answer: Mg
Ca
Vit E
*Thiamine*
*Folic Acid*- prevent or delay neuro damage/deficits
◉ What happens when you drink alcohol while taking Antabuse?.
Answer: -severe HA
-n/v/d
,-flushing
-hypotension
-tachycardia
-dyspne
-diaphoreis
-paliptations
-dizzy
-confusion
*avoid alcohol for >14 days before starting and do NOT use alcohol
when taking drug*
◉ How does Acamprosate (Campral) work?. Answer: most effective
by decreasing craving for alcohol
-SE: diarrhea and HA
◉ Types of Benzodiazepines. Answer: Valium, Ativan, GHB
-colorless and tasteless
◉ Types of Barbiturates. Answer: Amytal, Phenobarbital (common)
Nembutal
Seconal
Butabarbital
, ("amys", "reds", "blues")
◉ Sniffing. Answer: inhaling vapors from an open container
*lowest concentration in the body*
◉ Huffing. Answer: inhaling fumes from a soaked cloth or rag
*medium level of concentration in the body*
◉ Bagging. Answer: inhaling fumes from a bag to get high
*highest concentration in the body*
◉ Sudden Sniffing Death Syndrome. Answer: cardiac arrest due to
inhalant use that leads to death of the user
◉ What are the CIWA categories?. Answer: -nausea/vomiting
-tactile disturbances
-tremor
-auditory disturbances
-parozysmal sweats
-visual disturbances
-anxiety
-HA, fullness in head