(Interventions are applicable to various health-care settings, such as^86 ●home health, and private practice.) Sedative, Hypnotic, or Anxiolytic Withdrawal 1. Withdrawal symptoms occur after cessation of (or reduc-inpatient and partial hospitalization, community outpatient clinic, Defi 2. Symptoms of withdrawal occur within several hours to a few with Substance-Related Disorders 3. Symptoms of withdrawal include autonomic hyperactiv-and Interventions for Clients Common Nursing Diagnoses intoxication and withdrawal is presented in Table 4-2.environmental conditions interacting with the individual’s adaptive A summary of symptoms associated with the syndromes of hand tremor; insomnia; nausea or vomiting; transient visual, ity (e.g., sweating or pulse rate greater than 100); increased days after abrupt cessation or reduction in use of the drug.anxiolytics.tion in) heavy and prolonged use of sedatives, hypnotics, or tactile, or auditory hallucinations or illusions; psychomotor RISK FOR INJURYagitation; anxiety; or grand mal seizures. nition:●^ ALTERATIONS IN PSYCHOSOCIAL ADAPTATION At risk for injury as a result of [internal or external]
2506_Ch04_071-104.indd Sec1:86 2506 Ch 04 071 - 104 .ind[Hallucinations][Psychomotor agitation][Unstable vital signs][Delirium][Flashbacks][Panic level of anxiety] Goals/ObjectivesShort-term GoalClient’s condition will stabilize within 72 hours.Long-term GoalClient will not experience physical injury.and defensive resources. [Substance intoxication]Related/Risk Factors (“related to”)[Substance withdrawal][Disorientation][Seizures]d Sec 1 : 86 1 10/1/10 9:34:00 AM 0 / 1 / 10 9 : 34 : 00 AM