Johnny wants to know about alcohol detoxification and rehabilitation programs. He drinks a pint of whiskey and a 12-pack of beer a day
a. What are some facts about alcoholism?
b. What are the signs and symptoms of alcoholism?
c. What are the treatments?
d. What is his prognosis?
Students' answers should include the following:
a. Progressive, chronic, systemic, multisystem disease with the inability to control the consumption of alcohol
Can be fatal if left unchecked
Medical issues include dose related, meaning the more consumed, the more life threatening health issues appear, such as portal hypertension, esophageal varices, cirrhosis of the liver, etc.
Women are more likely than men to experience health issues due to weighing less, thus more toxic to women.
Genetic factors play a role in alcoholism.
b. Abnormal metabolism creates cravings for alcohol even during abstinence due to substance THIQ.
Possible neurobiologic basis for addiction due to dopamine and dopamine receptors
Withdrawal occurs as early as 6 hours after last drink and 48 hours or longer.
Withdrawal signs and symptoms include elevated heart rate and blood pressure as well as temperature, risk of seizures, changes in LOC, etc.
c. Detoxification involves stabilizing client through period of withdrawal.
Drugs such as beta-blockers for elevated heart rate and blood pressure; Librium, Ativan, or Valium for seizure activity; thiamine and other B vitamins for hydration and nutrition
Monitor vital signs.
d. Prognosis depends on amount of alcohol per day, length of time, and client's health.
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