Medical-surgical Nursing Demystified

(Sean Pound) #1

(^552) Medical-Surgical Nursing Demystified
TREATMENTS



  • ABCs of emergency support—airway, breathing, circulation.

  • Referral to a specialist in substance abuse.

  • Behavioral therapy (counseling, cognitive therapy, and/or psychotherapy).

  • Avoidance of situations detrimental to well-being.

  • Residential programs.

  • Outpatient programs.

  • Medications—methadone, naltrexone, and buproprion.

  • Antidepressants—paroxetine, fluoxetine, sertraline, amitriptyline, and tra-
    zodone.

  • Mood stabilizers—olanzapine and risperidone.

  • Acupuncture.

  • Biofeedback.


NURSING DIAGNOSES



  • Altered family process

  • Social isolation

  • Risk for loneliness


NURSING INTERVENTIONS



  • Assess for HIV/AIDS, tuberculosis, and hepatitis.

  • Different approaches work for different people.

  • Drug abuse is a result of multiple issues and treatment must address all of
    these issues.

  • Explain to the patient:

    • Disease process.

    • Long-term treatment is more effective.

    • Benefit of continued counseling.

    • Treatment, medications, and side effects.



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