Management of the Patient in Alcohol Withdrawal

Credit

Handouts/Brochure

Speaker

JeanAnne Johnson, DHA, APRN-BC, FNP, PMHNP Related seminars and products

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With over 25 years in the medical field, Dr. JeanAnne Johnson Talbert is a Psychiatric/Mental Health Nurse Practitioner that specializes in pharmacological treatment of mental illnesses.

JeanAnne graduated from Georgetown University in Washington, DC, with a master’s degree in nursing as a Family Nurse Practitioner. She later received her doctorate in healthcare administration and a post-doctorate in psychiatric mental health from Rush University in Chicago, IL. She is board certified as a Psychiatric/Mental Health Nurse Practitioner, a Family Nurse Practitioner, and an Addictions Nurse Practitioner. She holds a master psychopharmacology certificate and is currently in training for precision psychiatry and functional medicine certification.

JeanAnne is known for her many jobs – currently providing psychiatric services to over 14 clinics and facilities that treat mental illnesses across the lifespan, substance use disorders, and criminogenic programs. She has been a national speaker for PESI, Inc, educating healthcare providers on psychopharmacology and substance use. In 2019, she published her first book entitled I Can Do Hard Things: Tools to Manage Anxiety When Medication Isn’t Enough.

In her spare time, JeanAnne spends time with her two fantastic children, and enjoys the outdoors: hiking, camping, running, biking, skiing, swimming, and beaching. She is a cancer survivor and an animal lover.

 

Speaker Disclosures:
Financial: JeanAnne Johnson maintains a private practice and has employment relationships with Functional Harper Clinic, JTC Advanced Practice, LLC., Maple Mountain Health and Wellness, Reflections Recovery Center, Mountain View Hospital, Alliance Youth Centers, Come About Youth Center, and Live for Life Youth Centers. She receives compensation as a consultant. JeanAnne Johnson receives a speaking honorarium and recording royalties from PESI, Inc. She has no relevant financial relationships with ineligible organizations.
Non-financial: JeanAnne Johnson is a member of the American Psychiatric Association, the International Nurses Society on Addictions, the American Psychiatric Nurses Association, the Association for Addiction Professionals, the American Society of Addiction Medicine, the American Academy of Nurse Practitioners, the Oncology Nursing Society, the National Consortium of Breast Centers, and the Association of Community Cancer Centers.

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Objectives

1. Evaluate the epidemiological trends of alcohol use disorder and how it affects medical patients. 
2. Review the current DSM 5 diagnostic criteria for alcohol use disorder.
3. Understand the pharmacology of alcohol.
4. Explain the neurobiology of substance abuse. 
5. Effectively screen and assess for alcohol use disorder.
6. Recognize the signs and symptoms of alcohol withdrawal.
7. Formulate an appropriate treatment plan for patients with a history of alcohol use and alcohol withdrawal.
8. Understand the use of severity assessment scales to assess symptoms.
9. Identify the medical complications of alcohol withdrawal.
10. Manage your own identified biases when working with patients who have alcohol use disorder.

Outline

• Scope of the Problem 
  • Recent epidemiological trends in alcohol use/ consumption in U.S. 
  • COVID-19 pandemic effects on alcohol sales/ use 
  • Hospital admissions related to alcohol use 
• History of alcohol use  
  • Stone Age 
  • Ancient civilizations 
  • Colonists to US 
• History of alcohol regulations in the U.S.  
  • Colonists imported alcohol from abroad for domestic consumption     
    • Trades with Native Americans 
    • 1657 Massachusetts – illegal to sell liquor to native people 
  • Late 1600s bars, taverns, breweries required to have a license to operate 
  • Early 1700s British Government began taxing ingredients used to create alcohol 
  • Whiskey Rebellion 
  • Second Great Awakening 
  • Temperance Movement 
  • Prohibition 
  • 21st Amendment 
  • Federal Uniform Drinking Age Act  
• Pharmacology of alcohol 
  • Drug classification 
  • Pharmacokinetics 
  • Metabolism 
  • Neurotransmitter effects 
    • GABA 
    • Glutamate 
  • Positive and Negative effects of alcohol ingestion 
• Diagnostic Criteria for Alcohol Use Disorder 
  • NIAA 
  • DSM-5 
  • Long-Term Health Effects 
    • Brain effects  
    • Organ effects   
    • Prenatal Exposure 
• Stages of Addiction 
• Predicting and Identifying Alcohol Withdrawal Syndrom 
  • Risk Factors 
  • Screening tools 
• Assessment of the patient in Alcohol Withdrawal 
  • CIWA-Ar 
• Treatment of the patient in alcohol withdrawal 
  • Medications of choice 
  • Dosing schedules 
    • Fixed dosing 
    • Symptom triggered dosing 
    • Fromt loading dosing 
• Complications of alcohol withdrawal 
  • Seizures 
  • Delirium 
  • Resistant alcohol withdrawal 
  • Pregnant patients 
• Therapeutic nursing activities for the patient in alcohol withdrawal  
• Predictors of relapse 

Target Audience

• Nurses
• Nurse Practitioners
• Physicians Assistants