University:
Rice University
Course:
EMSP 281 | Emt-B Intro To Emergency Care
Academic year:

2021
Views:

253

Pages:

1
Author:

gewoekerdodx

ACTIVE LEARNING TEMPLATE: System Disorder Caring for a client who is recoving from alcohol use disorder 12 DISORDER/DISEASE PROCESS __________________________________________________________ REVIEW MODULE CHAPTER ___________ Alterations in Health (Diagnosis) Naltrexone is a pure opioid antogonist that suppresses the craving and pleasurable effects of alcohol. Pathophysiology Related to Client Problem Competitively blocks the effects of opioids, including CNS and respiratory depression, without producing any agonist effects. Health Promotion and Disease Prevention Mechanism in managing alcohol dependence may involve the endogenous opioid system. ASSESSMENT SAFETY CONSIDERATIONS Risk Factors Expected Findings Suicidal ideation, anxity, fatigue, headache, insomnia, nervousness, injection site reactions, hepatotoxicity, sexual dysfunction, rash, nauses, vomiting Laboratory Tests The blockade of the effects of exogenously administered opioids. Management of alcoholism. Diagnostic Procedures Assess patient for last time opioids or alcohol were taken. Patient must be free from opioids for 7-10 days prior to initiation of therapy. Naltrexone should be used in conjunction with a comprehensive alcohol or drug program. Patient should not be actively drinking at the time of naltrexone initiation. PATIENT-CENTERED CARE Nursing Care - Take an accurate history to determine whether clients are also dependent on opioids. Concurrent use of naltrexone and opiates results in withdrawal reactions. Therapeutic Procedures - Management of opioid and alcohol dependence - Need negative naloxone challenge before starting therapy. - Monitor for hepatotoxicity. - Monitor liver enzymes and platelet count. - Patient must be off opioids 7 days or more before starting this medication. Complications Medications - May prevent therapeutic effects of opioid analgesic, antidiarrheals, antitussive. - May increase CNS depression with used with thioridazine Client Education - Take the medication with meals to decrease gastrointestinal distress. - Utilize monthly IM injections of depot naltrexone if having diffeculty adhering to an oral treatemnt regimen. Interprofessional Care - Clients must abstain from alcohol before starting naltrexone. - Do not give to patient if in active opiate withdrawal. - Avoid becoming pregnant. - Trying to overcome effects of naltrexone by taking larger quantities of opioids may cause death.