A patient undergoing alcohol rehabilitation decides to accept ...

[Yi-Chen]

A patient undergoing alcohol rehabilitation decides to accept disulfiram (Antabuse) therapy to avoid impulsively responding to drinking cues. Which information should be included in the discharge teaching for this patient? Select all that apply.
 
  a. Avoid aged cheeses.
  b. Read labels of all liquid medications.
  c. Wear sunscreen and avoid bright sunlight.
  d. Maintain an adequate dietary intake of sodium.
  e. Avoid breathing fumes of paints, stains, and stripping compounds.

Question 2

Which documentation indicates that the treatment plan for a patient in an alcohol rehabilitation program was effective?
 
  a. Is abstinent for 10 days and states, I can maintain sobriety 1 day at a time. Spoke with employer, who is willing to allow the patient to return to work in 3 weeks.
  b. Is abstinent for 15 days and states, My problems are under control. Plans to seek a new job where co-workers will not know history.
  c. Attends AA daily; states many of the members are real alcoholics and states, I may be able to help some of them find jobs at my company.
  d. Is abstinent for 21 days and says, I know I can't handle more than one or two drinks in a social setting.

[blfontai]

Answer to Question 1

ANS: B, E
The patient must avoid hidden sources of alcohol. Many liquid medications, such as cough syrups, contain small amounts of alcohol that could trigger an alcohol-disulfiram reaction. Using alcohol-based skin products such as aftershave or cologne; smelling alcohol-laden fumes; and eating foods prepared with wine, brandy, beer, or spirits of any sort may also trigger reactions. The other options do not relate to hidden sources of alcohol.

Answer to Question 2

ANS: A
The answer reflects the AA beliefs. The incorrect options each contain a statement that suggests early relapse.