PMHNP Board Review Exam Latest Update
Positive Romberg Sign - ANSWER-(r/t etoh) loss of balance that occurs when closing the eyes
ETOH withdrawal delirium may result in? - ANSWER-Seizures or death
DSM Severity for ETOH - ANSWER-Mild = 2-3 sx
Moderate = 4-5 sx
Severe = >= 6 sx
DSM ETOH Remi...
DTs - 48 - 72 hours, peaks on 4th day, can last for 2 weeks
CIWA - ✔✔✔ANSWER-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 - ✔✔✔ANSWER-Usually 250 mg/day
, NO perfumes or mouthwash!
Meds Used for ETOH W/D Sx including Seizures - ✔✔✔ANSWER-Benzos &
Carbamazepine (Tegretol)
Vitamin to be given during ETOH detox - ✔✔✔ANSWER-Thiamine >300 mg/day
CRAFFT - ✔✔✔ANSWER-SUD screening tool for adolescents (12-21)
COWS - ✔✔✔ANSWER-Clinical Opiate Withdrawal Scale
5-12 = mild
13-24 = moderate
25-36 = moderately severe
>36 = severe withdrawal
Meds used for Opiod Detox & Maintenance - ✔✔✔ANSWER-Buprenorphine
(Suboxone)
Naloxone (Naltrexone)
Methadone
Clonidine (use with care! may mask VS changes & inc. seizure risk!)
Phenobarbital
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