Question

Nursing intervention for an heroine addict

Answer 1

Heroine is an opioid .Nursing intervention for an heroine addict mainly consider to major goal - 1) abstinence from drug .2) physical , psychiatric and psychosocial well being of patient.

So considering it and the symptoms which can be seen due to intoxication such as euphoria , drowsiness , hypotension , disorientation, impairment of memory attention and judgement ,decreased respiration , psychomotor retardation ,slurred speech , shock ,coma and seizure and sometimes death too

Also considering withdrawal symptoms which are irritability, rhinorrhea ,diaphoresis,cramps,nausea and vomiting , muscle aches ,chills , fever ,lacrimation and diarrhea.

NURSING INTERVENTIONS-

• Asses vital signs of patient as patient may have hypotension and high fever due to withdrawal and intoxication
• Obtain information regarding drug quantity and type and when it is taken
• Remove the unnecessary stimuli and approach with calm and non judgmental manner
• Monitor intake and output of patient to eliminate the risk of fluid and electrolyte imbalance
• Initiate the seizure precautions ensuring patients safety by it
• Hydrate the patient as risk of fluid volume deficit due to vomiting and diarrhea
• Provide bismuth salicylate if ordered to manage diarrhoea and acetaminophen for muscle aches on physician's order
• Use security devices if necessary and prescribed to ensure safety and prevent harm of self and others by patient
• Provide fluids and electrolyte as tolerated to reduce the symptom
• Collect blood and urine sample for drug screening.Note if overdose
• Prevent overdose by administration of opioid antagonist naloxone if prescribed
• Monitor vital signs hourly to note if any change
• Administer medication as prescribed to manage withdrawal symptoms
• Orient the client frequently and maintain minimal stimuli in environment
• Direct the patient's focus to drug or substance abuse problem
• Assist the client to identify situation which precipitate in angry feelings
• Assist the client to uss assertive techniques to complete need rather than manipulation to meet the need
• Assist the client to explore strength and weaknesses and encourage to focus on strength while losing control
• Encourage the patient in participating in init activities .Engage the patient in doing physical activity and enhancing mental strength
• Encourage the patient to participate in group therapy and support therapy.

PLEASE UPVOTE IF YOU FIND IT SATISFACTORY.COMMENT IF ANY DOUBT.