ETOH (Substance Abuse Disorder)

ETOH (Substance abuse disorder.) neurotransmitters that are assouated & dreglalcohol addution preumome G.G.D (Good Good brugs) a lutam ate (excitatong) GABA (Inhibitory) Dopamine (Excitatory.) predisposing factors: *form of self imedication Biological, Psychological, sociocultural. genetics • developmental Influences brochemistry (NT: GGD) •personality factor cognitive factors (b/c of irrational thinking (suraprod Denial:"I don't have a problem" Projection:"my wifes fault" rationalization: "Drink b/k of paint Dopamine is the natural response of a reward system. dopamine-ventral area-amygdala, hippocampus, prefrontal cortex. (wants more) = ADDICTION pre early crucial chronic A Phases of alcohol (pretty early.crushing. wronas) pre-use it as a rodine michamuem/ torne Tevendar stress. to relaxlumuind •soudl learning. (Kids follow their parente footsteps! see one to one * -conditioning cultural and ethnie. early-start sneak ing drinks. *blackouts begun. you need IH!! Ølonger for pleasure Cruccal-lost control. its a physiological addution. & control. Binge drink 4 dnnks x2 hrs (w) agasion Chronic-you have physical 875. Jemotional and phyacal 5drinksx 2nis (m) disintegration I psychosis com develop. life threathening Physical sts. Remember main effect that alcohol has on the body. ↓ VIH BI-+x / parenteral B1 replacement therapy, *(2-3x/day x 1-2 weeks) tx for Other effects of alcohol on the body -Penpheral neuropathy (pins and needles) -alcoholic myopathy (muscle damage) -alcoholic cardiomyopathy - esophagitis gastritis - pancreatit is -Alcoholic hepatitis - cirrhosis of the liver alcohol intoxication. ( stages) 1.20-100-jl-can dive 2.100 mg-200mg 1-Speech disturbances impained expeech / thought wermekes Korsakoft syndrome- 3. 200-300mg-Mackouts. 4. 300-400 mg%- amnesia (vis change) # 5. 400mg - 800 mg 1%. comal death alcohol poisoning * Alcohol withdrawal sis (* start whis after last drink 6hrs (mild) 6-12hrs (mod) 12-24 hrs (severe) 48-72 hrs *VS change 1810 THR Illusions senures dis onentation Impaired attention. anxiety *visual auditong hallucinations- insomma HA TRR 61 disturbances mad hyperthermia confusion *delirium tremens [t/in 24nis) * hand tremors umeds to tx alcohol alouse disvitram Naloxen acampisatu No dam (N.D.A) alcoho Maintain Vis senurs sis of Bemos alcohol abstinence "zepams" diazepam Lorazepam Chlordiazepoxide о хагерат Remember for benzos: Risk of becoming dependent. Main sleeN's depression BBlockers (Plan B + c)aibarenan adjunct umeds. disulfram (saversion therapy) Carbamezapine Naltrexone(Naloxone) (cravings) Beta Blockers (1015) A comprosate ( cravings) (alcool (wear medie alert bracelet) Ple disulfiram-to abstain from alcohol. if ever take t alcohol. causes of (severe) dizziness flushed skin -RR difficulty clonidine propanolol (Vcravings) carbameramre- non sedating alt. to bentos. avuse potential seizures* safety** sedation, doon smees, Lataxia, confusion, 11ghtheadedness, antegrade amherta Paradoxical effects *Never OIL benzos abruptly!! Black bor wavining dicam ) *rlo death it taken t Oplods of coustumedication I'm older adults) too much benzo IV: NN Sweating -tachycardia depression cardio collapse CHA Confusion dearn Aldehyde dehydranaße: is what makes sis of alcohol appear and beserere. arans have this!! That's why they do r drink therapeutic level (4-12) ↑ rio si monitor for imeing depression.