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Adaptive Brain SIMCLEX Study Plan – 8 May 2026
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Substance Abuse (Alcohol, Drug Withdrawal) for Progressive Care Certified Nurse (PCCN)

Substance Abuse (Alcohol, Drug Withdrawal) for Progressive Care Certified Nurse (PCCN)

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Outline

Substance Abuse (Alcohol, Drug Withdrawal)

 

Definition/Etiology:

  • Drug Withdrawal
    • “Detox” outpatient or inpatient
      • Depressants
      • Stimulants
      • Opioids
    • Gradual (e.g. heroin)
      • Methadone
      • Bupronorphine (w. or w.o naloxone)

 

Pathophysiology:

  • Alcohol withdrawal
    • Can be more concerning
    • Should be done with support
    • *Focus*of this lesson

 

Noticing: Assessment & Recognizing Cues:

  • Delirium Tremens “DTs”
    • Shaking
    • Hallucinations
    • Seizure
  • CIWA assessment
  • Physical assessment
  • Detox
    • Starts hours to 5 days after
    • Lasts 2 to 7 days

 

Interpreting: Analyzing & Planning:

  • Consult psych
  • Blood work
    • Blood alcohol level
    • Liver function tests
    • Basic Metabolic Panel
    • Magnesium
    • Vitamin deficiency test

 

Responding: Patient Interventions & Taking Action:

  • Medications
    • Benzos
    • Clonidine
    • Carbamazepine
    • Beta-blockers
    • Antipsychotic meds
    • Prenatal vitamin
  • Physical support
    • Gastritis
    • GI bleeding
    • Liver disease
    • Cardiomyopathy
    • Pancreatitis
    • Vitamin deficiency (folate, thiamine)
    • Electrolyte imbalance

 

Reflecting: Evaluating Patient Outcomes:

  • DT’s limited or prevented
  • In “Recovery” for life
  • Continued support (e.g. AA)

 

Linchpins (Key Points):

  • Assess DTs
  • Benzos
  • CIWA
  • Prenatal vitamin
  • Alcohol =ABC and P

 

 

 

 

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