Question

In: Nursing

Answer with rationales A client detoxifying from alcohol requires medication to treat the withdrawal. The nurse...

Answer with rationales

A client detoxifying from alcohol requires medication to treat the withdrawal. The nurse observes coarse hand tremors and diaphoresis. How should the nurse first react to this observation?

a. assess vital signs

b. access level of consciousness

c. explain the concepts of withdrawal to the client

d. review the most recent blood alcohol level

Expert Solution

In the client detoxifying from alcohol requiring medication to treat the withdrawal and the nurse observing the coarse hand tremors and diaphoresis The nurse first react to this observation by-

a. Assess the Vital signs

The Nurse should First Assess the vitals signs it is Of utmost importance to stabilise the Airway,Breathing and Circulation.

As In the Cases of Alcohol Withdarawal there is - CNS Excitation within 24-28 hrs of withdrawal and Causes-

Tachycardia
Palpitations
Sweating/diaphoresis
Hypertension
Anxiety
Anorexia, Nausea and Vomiting

These are called Minor Withdrawal Symptoms.

After a period of this Phase of Minor Withdrawal Symptoms patient develops Alcoholic Hallucinosis -

Development of Hallucinations (Visual)

If still this Hallucinations are not controlled patients Develops Withdrawal Seizure ( Rum Fits).

So, to prevent all these Complications of Alcohol Withdarawal the Nurse Should Assess and Stabilise the Vitals .

If other Complications of Alcohol Withdrawal is Developed then it's should be treated by-

- Benzodiazepine : lorazepam, diazepam etc.

- Beta-blockers: propanolol, metaprolol

-Anti-convulsants : phenytoin, valproate etc.

Nightingale answered 2 years ago

identify 3 primary client problems to address with patient with delirium due to alcohol withdrawal?

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