Page 334 - 2021 IDMT Digital
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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
$XWRQRPLF ODELOLW\ WDFK\FDUGLD LQFUHDVHG WHPSerature
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
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