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Nursing · NCLEX-RN

Substance Use Disorder Nursing

Withdrawal syndrome recognition and harm reduction concepts for the patient with substance use disorder, distinct from the general mental health deck.

35 cards · basic cards · AI-written, checked twice. Edit anything.

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How soon after the last drink can alcohol withdrawal symptoms begin?
About 6 to 12 hours
What are early signs of mild alcohol withdrawal?
Tremor, anxiety, sweating, and a fast heart rate
When is the risk of alcohol withdrawal seizures highest?
24 to 48 hours after the last drink
When does alcohol withdrawal delirium (delirium tremens) typically begin?
48 to 96 hours after the last drink
What are the hallmark signs of delirium tremens?
Severe confusion, hallucinations, and marked autonomic instability
Why is delirium tremens considered a medical emergency?
It can be fatal without prompt treatment
What does the CIWA-Ar tool assess?
The severity of alcohol withdrawal symptoms
What is the first-line drug class for treating alcohol withdrawal?
Benzodiazepines
The classic triad of Wernicke encephalopathy is confusion, ataxia, and ____.
abnormal eye movements
In a patient with alcohol use disorder, which vitamin should be given before IV glucose?
Thiamine
Compared to alcohol or benzodiazepine withdrawal, how dangerous is opioid withdrawal for a healthy adult?
Very uncomfortable but rarely life-threatening
What are common symptoms of opioid withdrawal?
Yawning, runny nose, goosebumps, muscle aches, and diarrhea
What does the COWS scale measure?
The severity of opioid withdrawal symptoms
For a short-acting opioid like heroin, when do withdrawal symptoms typically start?
About 6 to 12 hours after the last use
What is methadone used for in opioid use disorder?
A long-acting full opioid agonist used for withdrawal management and maintenance treatment

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