Page 334 - 2021 IDMT Digital
P. 334

ALCOHOLISM CONTINUED
          Objective:
            •  3K\VLFDO ([DP
                 o  &KURQLF ILQGLQJV  DXSX\WUHQ¶V FRQWUDFWXUH RI SDOPDU IDVFLD  YDVFXODU VSLGHUV
                    VLJQV RI K\SRJRQDGLVP DQG IHPLQL]DWLRQ LQ PHQ  J\QHFRPDVWLD  WHVWLFXODU
                    DWURSK\
                 o  ,QWR[LFDWLRQ  GURZVLQHVV  SV\FKRPRWRU G\VIXQFWLRQ  G\VDUWKULD  DWD[LD  Q\VWDJPXV
                 o  0LOG ZLWKGUDZDO    KRXUV DIWHU ODVW GULQN   HOHYDWHG YLWDO VLJQV  WUHPRU  VZHDWLQJ
                    K\SHUUHIOH[LD
                 o  6HL]XUHV        KRXUV DIWHU ODVW GULQN
                 o  'HOLULXP WUHPHQV        KRXUV DIWHU ODVW GULQN
                       ƒ  $XWRQRPLF ODELOLW\  WDFK\FDUGLD  LQFUHDVHG WHPSerature
                       ƒ  0DUNHG WUHPRUV DQG DWD[LD
                 o  2YHUGRVH  ORVV RI FRQVFLRXVQHVV  DUUK\WKPLDV  UHVSLUDWRU\ GHSUHVVLRQ  VHL]XUHV
                    FRPD  GHDWK
          Assessment:
            •  'LIIHUHQWLDO
                 o  3ULPDU\ DOFRKRO XVH GLVRUGHU  ZKHQ QR RWKHU PDMRU SV\FKLDWULF GLDJQRVLV H[LVWV
                 o  6HFRQGDU\ DOFRKRO XVH GLVRUGHU  ZKHQ DOFRKRO LV XVHG DV VHOI PHGLFDWLRQ WR PDVN
                    DQRWKHU SV\FKLDWULF GLVRUGHU
                 o  $OFRKRO ZLWKGUDZDO FRXOG DOVR EH PLVWDNHQ IRU RWKHU VHGDWLYH ZLWKGUDZDOV
                     EHQ]RGLD]HSLQHV
          Plan:
            •  $OFRKROLVP
                 o  $'$37 UHIHUUDO
                 o  3V\FKRORJLFDO FRXQVHOLQJ  VRFLDO VXSSRUW  $$
            •  :LWKGUDZDO
                 o  6WDELOL]H
                 o  %HQ]RGLD]HSLQHV  ,9 RQO\ IRU YHU\ VHYHUH ZLWKGUDZDO V\PSWRPV
                 o  (9$& RU WUDQVIHU
            •  2YHUGRVH
                 o  6WDELOL]H
                 o  (9$& RU WUDQVIHU
          Patient Education:
            •  (QFRXUDJH FRPSOLDQFH ZLWK DOO PHGLFDO UHFRPPHQGDWLRQV
            •  6, +, SUHFDXWLRQV  cDOO      SURFHHG WR WKH (5  RU WHOO VXSHUYLVRU LPPHGLDWHO\ LI KDYLQJ
               WKRXJKWV RI 6, +,
          Preceptor Directive:
            •  Blue Directive: Contact Preceptor Immediately
















                                         [ 333 ]
   329   330   331   332   333   334   335   336   337   338   339