Question

nurse that she hopes that the for a recent back the surgical unit in preparation for nuter conventionaYear old man work. LM e around the hehe surgery at back inj been sitting he hopes thiment for admitte nurse, telling pears relaxed ise, drink will be sucury has non it in preparation that his band uncone more beerful. She confided his pain. His wifsurgery LM a 57 year old man, is admitted to the conventional treatment for a recent back iniurhe e lieved his pain. His wie nurse that she hopes that the surgery will be successful. She confides that her husba been sitting around the house, drinking more beer than usual, because he has not be work. LM appears relaxed and unconcerned about his uncoming surgery. He joke nurse, telling her that his back would be cured ir "a cute young thing like back. 1. What assessments of LM's alcohol use should the nurse surgeon and anesthesiologist before he is further prepared for surge des that her husband as just ause he has not been able to a cute young thing like her, would rub his urgery. He jokes with the 2. How would the nurse's approximation of LM's BAL surgical experience? use should the nurse make and communicate to the Prepared for surgery? Ximation of LM's BAC (blood alcohol content) affect h SMS postoperative period when will the nurse expect signs of syndrome to occur being sure to include your rationale for your an 4. What early signs and symptoms would alert the syndrome? e nurse expect signs of withdrawal onale for your answer? symptoms would alert the nurse to the development of withdra 3. What drug regimens might be used during LM's postoperative period to mana problems associated with his alcohol use? 0. Prepare a list of medications that could be used if Mr. LM went into acute alcone withdrawal

Answer 1

1. From his behaviour, a nurse will assess his blood alcohol concentration to be around 0.030-0.059% by volume.

2. As patient is alcohol intoxicated, his surgery may pose him at higher risk of developing postoperative complications like postoperative alcohol withdrawal syndrome, postoperative infections, cardiopulmonary complications and bleeding episodes

3. Alcohol withdrawal develops 6–24 hours after cessation or reduction of alcohol use and lasts from 2 to 7 days. The severity of alcohol withdrawal ranges from mild irritability and insomnia to fever, hallucinations, diaphoresis, and disorientation

4 .mild withdrawal symptoms will be manifested by nausea, anorexia, coarse tremor, tachycardia, hypertension, hyperreflexia, anxiety, and sleep disturbances wheras Major alcohol withdrawal (after more than 24 hours and usually peaks at 50 hours, but occasionally takes up to 120 hours after cessation) include worsening anxiety, insomnia, irritability, tremor, anorexia, tachycardia, hyperreflexia, hypertension, fever, decreased seizure threshold, auditory and visual hallucinations, and finally delirium.

5.  Patient mat be put on psychoactives (for instance, benzodiazepines), anticonvulsants, antiemetics, antiarrhythmics, antihypertensives, analgesics, and skeletal muscle relaxants, to suppress alcohol withdrawal effects.

6. Medicines used in the management of acute withdrawal are benzodiazepines like chlordiazepoxide, diazepam, oxazepam, and lorazepam, anticonvulsants(e.g., carbamazepine, valproic acid, gabapentin, and tiagabine) in combination with antipsychotics (usually haloperidol)