Substance Abuse Disorder

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The key takeaways are that substance abuse is a patterned use of a substance for mood altering purposes and some commonly abused substances include tobacco, alcohol, marijuana, heroin, cocaine and steroids. Signs and symptoms include declining grades, mood changes, giving up activities and legal troubles.

Some signs and symptoms of substance abuse include declining grades, aggressiveness, mood changes, giving up activities, disappearing money or valuables, selfish behavior, regular intoxication, avoiding others to use substances, and legal or work/school troubles.

Common treatments for substance abuse include cognitive behavioral therapy, family therapy, medications like buprenorphine, methadone, disulfiram and naltrexone, and treating any underlying psychiatric illnesses. Medications are approved to treat substance abuse.

SUBSTANCE ABUSE DISORDER

R.ABINAYA DEPT. OF PSYCHIATRIC

SREE BALAJI COLLEGE OF NURSING


SUBSTANCE ABUSE DISORDER
Substance abuse is a patterned use of a substance in which the user
consumes the substance for mood altering purpose.

Substance Abused

− Tobacco
− Alcohol
− Marijuana
− Heroin
− Cocaine
− Steroids
− Club drugs
a. Methylene dioxy methamphetamine
b. Gamma hydroxybutyrate
c. Ketamine

Signs and Symptoms

− Declining grades
− Aggressiveness and irritability
− Significant change in mood or behavior
− Giving up past activities such as sports and hanging out with new
friends
− Disappearing money or valuables
− Sounding selfish and not caring about others
− Getting drunk or high on drugs on a regular basis
− Avoiding friends and family to get drunk
− Getting in trouble with law
− Suspension or other problems at work place or at school.
Management

1. Cognitive behavioral therapy and family therapy


These are the most important part of the treatment.
2. Medication
Number of medications are approved for the treatment of substance
abuse, these include
− Buprenorphine
− Methadone
− Disulfiram
− Naltrexone
3. Treatment of underlying psychiatric illness if present
− Often a substance abuser has an underlying behavioral disorder or
other mental illness.
− Treatment such disorder should be done along with the treatment of
drug abuse.

Withdrawal Symptoms and Nursing Intervention or Management


Alcohol
Withdrawal symptoms include
− Tremors
− Anxiety
− Restlessness
− Insomnia
− Hypertension
− Hallucination
− Illusion
− Seizures
− Disorientation
Nursing Interventions

1. Provide care in a nonjudgmental manner


2. Monitor vital signs and neurological signs every 15 minutes
3. Provide quiet, non stimulating environment
4. Encourage a family member to stay with the patient to minimize anxiety
5. Explain all treatments in a simple manner
6. Orient the patient frequently
7. Initiate seizure precautions
8. Administer anti anticonvulsant medications as prescribed
9. Provide small frequent carbohydrate foods
10.Administer vitamin especially thiamine
11.Assist the patient with activities of daily living
12.Allow patient to express fears and feeling
13.Start on Disulfiram therapy as prescribed

Patient Education
− Educate about the effect of medicine
− Ensure that the patient agrees to abstain from alcohol and any alcohol
containing substance
− Instruct the patient that the effect of medicine may last for several days after
discontinuation.

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