By Springhouse
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Fluids for hypotension. • Give diazepam as ordered for extreme agitation and acute psychosis. 37 48 49 If the patient admits to drug use, try to determine the extent to which this behavior interferes in his life. Note whether he expresses a desire to overcome his dependence on drugs. If possible, obtain a drug history consisting of substances ingested, amount, frequency, and last dose. Expect incomplete or inaccurate responses. Drug-induced amnesia, a depressed level of consciousness, or ignorance may distort the patient's recollection of the facts; he may also deliberately fabricate answers to avoid arrest or to downplay a suicide attempt.
V. fluids to increase circulatory volume. • Use extra blankets for hypothermia; if ineffective, use a hyperthermia blanket. • Reorient the patient to time, place, and person. • Assess breath sounds to monitor for pulmonary edema. • Monitor for signs and symptoms of withdrawal. • Of use: acute psychosis, agitation, conjunctival reddening, decreased muscle strength, distorted sense of time and self-perception, euphoria, hallucinations, incoordination, increased hunger, orthostatic hypotension, paranoia, tachycardia • Of withdrawal: chills, decreased appetite, insomnia, irritability, nervousness, tremors, weight loss • Place the patient in a quiet room.
By participating in these self-help groups, family members learn to relinquish responsibility for the alcoholic's drinking so that they can 40 41 live meaningful and productive lives. Point out that family involvement in rehabilitation can reduce family tensions. • Refer adult children of alcoholics to the National Association for Children of Alcoholics. This organization may provide support in understanding and coping with the past. Patient teaching • Educate the patient and his family about his illness.