100% satisfaction guarantee Immediately available after payment Both online and in PDF No strings attached
logo-home
Previously searched by you
Previously searched by you
logo
PMHNP Board Review (2020) $7.49   Add to cart
Quickly navigate to
Preview
  2.  
  3. PMHNP Board
  4.  
  5. PMHNP Board

Exam (elaborations)

PMHNP Board Review (2020)
 1 view  0 purchase
  • Course
  • PMHNP Board
  • Institution
  • PMHNP Board

Positive Romberg Sign - (r/t etoh) loss of balance that occurs when closing the eyes ETOH withdrawal delirium may result in? - Seizures or death DSM Severity for ETOH - Mild = 2-3 sx Moderate = 4-5 sx Severe = >= 6 sx DSM ETOH Remission Criteria - Early = >3 mos & <12 mos Substantial...

[Show more]

Preview 3 out of 20  pages

Document information

  • November 29, 2023
  • 20
  • 2023/2024
  • Exam (elaborations)
  • Unknown

Subjects

  • pmhnp board review 2020

Written for

  • PMHNP Board
All documents for this subject (50)

Seller

avatar-seller
Jessypeace

Content preview

PMHNP Board Review (2020)

Positive Romberg Sign - ✔✔(r/t etoh) loss of balance that occurs when closing the eyes



ETOH withdrawal delirium may result in? - ✔✔Seizures or death



DSM Severity for ETOH - ✔✔Mild = 2-3 sx

Moderate = 4-5 sx

Severe = >= 6 sx



DSM ETOH Remission Criteria - ✔✔Early = >3 mos & <12 mos

Substantial Remission = >12 mos



Screening & Early Intervention scale for SUD - ✔✔SBIRT Screening, Brief Intervention & Refereal to
Treatment



CAGE - ✔✔Cut down

Annoyed

Guilty

Eye-Opener

>=2 is clinically significant



Labs for AUD - ✔✔ETOH/SUD Blood & urine

BAC

Ele. AST, ALT, MCV, CDT (Carb deficit transfer)

Dec. Hgb, B12, folic acid



ETOH W/D Sx - ✔✔Most common = tremors (w/i hours of cessation)

Ele. b/p. tachy, n/v, poss. hyperthermia

,Sx of ETOH W/D Emergency - ✔✔Hallucinations = 7 - 48 hours



DTs - 48 - 72 hours, peaks on 4th day, can last for 2 weeks



CIWA - ✔✔Clinical Institute Withdrawal Assessment

0-8 Support &Monitoring w/o meds! (NO meds unless >=8)

8-14 = Pharm Intervention

15 = IMMEDIATE Pharm Int!



Disulfiram (Antabuse) Dosage for ETOH - ✔✔Usually 250 mg/day

NO perfumes or mouthwash!



Meds Used for ETOH W/D Sx including Seizures - ✔✔Benzos & Carbamazepine (Tegretol)



Vitamin to be given during ETOH detox - ✔✔Thiamine >300 mg/day



CRAFFT - ✔✔SUD screening tool for adolescents (12-21)



COWS - ✔✔Clinical Opiate Withdrawal Scale

5-12 = mild

13-24 = moderate

25-36 = moderately severe

>36 = severe withdrawal



Meds used for Opiod Detox & Maintenance - ✔✔Buprenorphine (Suboxone)

Naloxone (Naltrexone)

Methadone

Clonidine (use with care! may mask VS changes & inc. seizure risk!)

Phenobarbital

, Cannabis W/D Symptoms Timeline - ✔✔Sx begin w/in 24 - 48 hours

Peak 4 - 6 hours

Duration 1 - 3 weeks



Cannabis Treatment - ✔✔Motivational Enhancement Therapy (MET)

Best Tx is MET + CBT + Contingency Management



When to Start & Stop CIWA - ✔✔Start: Last ETOH w/i past 12 hours

Hx of: w/d sx, large amt of etoh over long time



Stop: When score is <10 after 3 consecutive assessments



CIWA Measurement Guideline - ✔✔N/V

Tremors

Paroxysmal Sweats

Anxiety

Agitation

Tactile, Auditory, Visual Disturbances

H/As or "fullness in head"

Orientation/Sensorium



Neurological Factors of Addiction - ✔✔"Feel good" rewards by Dopamine Pathways

Ele. Dopamine

Ele. Glutamate

Dec. GABA



Neurobiological Factor of Addiction Withdrawl - ✔✔Significant decrease in dopamine levels



Precautions w/Antabuse (disulfiram) - ✔✔May use >12 hours after last drink

NO mouthwash/perfume

The benefits of buying summaries with Stuvia:

Guaranteed quality through customer reviews

Guaranteed quality through customer reviews

Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.

Quick and easy check-out

Quick and easy check-out

You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.

Focus on what matters

Focus on what matters

Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!

Frequently asked questions

What do I get when I buy this document?

You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.

Satisfaction guarantee: how does it work?

Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.

Who am I buying these notes from?

Stuvia is a marketplace, so you are not buying this document from us, but from seller Jessypeace. Stuvia facilitates payment to the seller.

Will I be stuck with a subscription?

No, you only buy these notes for $7.49. You're not tied to anything after your purchase.

Can Stuvia be trusted?

4.6 stars on Google & Trustpilot (+1000 reviews)

79650 documents were sold in the last 30 days

Founded in 2010, the go-to place to buy study notes for 14 years now

Start selling
$7.49
  • (0)
  Add to cart