Mental Health and Drug and Alcohol Office. (2008) Clinical guidelines for nursing and midwifery practice in New South Wales: identifying and responding to drug and alcohol issues. Sydney: NSW Department of Health.
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These guidelines provide nurses and midwives with support and a benchmark for quality drug and alcohol use assessment and care in daily practice.
Table of contents:
1 Principles of practice ....................... 7
2 Overview and general guidelines .............. 8
3 Communication and special population groups....11
4 Drug and alcohol use assessment .......... 16
5 Opportunistic intervention ................... 20
6 Managing intoxication ........................ 21
7 Managing overdose ............................ 26
8 Managing withdrawal .......................... 29
9 The drugs .....................................32
9.1 Alcohol
9.2 Opioids (heroin, methadone etc)
9.3 Benzodiazepines (diazepam – valium, oxazepam – serepax etc)
9.4 Psychostimulants (amphetamines – speed, methamphetamines – ice, crystal etc)
9.5 Cannabis
9.6 Tobacco
9.7 Hallucinogens
9.8 Solvents (inhalants, volatile substances)
9.9 Ketamine
9.10 Gamma hydroxybutyrate (GHB)
9.11 Anabolic androgenic steroids (AAS)
10. Pharmacotherapies for dependence ...... 67
10.1 Opioid pharmacotherapies
• Methadone
• Buprenorphine
• Naltrexone
10.2 Alcohol pharmacotherapies
• Acamprosate
• Naltrexone
• Disulfiram
Appendices ............................... 73
Appendix 1. Glasgow Coma Scale
Appendix 2. Clinical Institute Withdrawal Assessment for Alcohol (revised) (CIWA-Ar)
Appendix 3. Alcohol Withdrawal Scale (AWS)
Appendix 4. Clinical Opiate Withdrawal Assessment Scale (COWS)
Appendix 5. Cannabis Withdrawal Assessment Scale
Appendix 6. Street names of drugs
Appendix 7. Drug interactions with methadone
Screening Tools, Handouts .......................... 83
Alcohol use disorders identification test screening instrument (AUDIT)
Drug Quiz — ASSIST (Cannabis)
Drug Quiz — ASSIST (Psychostimulants)
Drug Quiz — ASSIST (Heroin)
Making changes
Minimising harm from alcohol or other drug use
B Substances > Opioids (opiates) > Opioid product > Naltrexone
E Concepts in biomedical areas > Pregnancy
G Health and disease > Substance use disorder > Alcohol use > Alcohol intoxication
G Health and disease > Substance use disorder > Drug use > Drug intoxication
G Health and disease > Substance use disorder > Drug use > Drug intoxication > Poisoning (overdose)
HA Screening, identification, and diagnostic method > Medical screening and diagnostic method
HA Screening, identification, and diagnostic method > Psychosocial screening and diagnostic method
HJ Treatment method > Substance disorder treatment method
HJ Treatment method > Substance disorder treatment method > Substance replacement method (substitution) > Disulfiram therapy
J Health care, prevention and rehabilitation > Identification and screening > Identification and screening for substance use
J Health care, prevention and rehabilitation > Patient / client care management
J Health care, prevention and rehabilitation > Health care delivery
J Health care, prevention and rehabilitation > Health care programme, service or facility > Community-based treatment (primary care)
J Health care, prevention and rehabilitation > Health care administration > Health care quality control
N Communication, information and education > Recommendations or guidelines > Practice / clinical guidelines
T Demographic characteristics > Nurse / Midwife
VA Geographic area > Australia and Oceania > Australia
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