42 - alcohol related illness Flashcards
1
Q
labs for intoxication
A
- blood ethanol - poor correlation
- check for hypoglycemia in all comatose
- lyte - K and Mg
2
Q
mgmt of intoxication
A
- hold until GCS=15
- monitor those with decreased LOC
- thiamine 100mg
- IV with saline lock
- ## cannot give consent to care - keep restrained
3
Q
Sx of withdrawal
A
- tachy
- HT
- anxiety
- diaphoretic
- N/V
- seizures
- DTs - delerium and hallucinations
4
Q
main Tx of withdrawal
A
benzos
- assess with CIWA >8
5
Q
typical seizures
A
- 8-48 hours
- brief generalized motor seizures
- after 48 hrs are part of DTs
6
Q
what is wernickes triad
A
- occularmotor dysfunction
- cerrelbellar
- global confusion
- give thiamine
7
Q
3 reasons for hypokalemia
A
- lower intake
- renal losses
- GI losses in vomit and diarrhea
8
Q
3 alc. related CV diseases
A
- HT
- cardiomyopathy
- holiday heart
9
Q
what is holiday heart
A
acute on chronic use
- a-fib, aflutter, PAC, PVC
10
Q
Sx of alcoholic ketoacidosis
A
- abdo pain and cramping
- N/V
- tachy and hypotension
- anion gap metabolic acidosis
11
Q
what is good indiactor of other alcohol ingestion
A
osmolar gap >10
12
Q
clinical features of isopropyl alcohol intake
A
- ketosis but no acidosis
- normal BG
- similar to alc poisoning but longer lasting
- fruity odor of acetone
13
Q
Sx of methanol poisoning
A
12-18 hours after ingestion
- CNS depression
- visual disturbance
- abdo pain
- AG met acidosis
- osmolar gap
- possible renal failure
14
Q
Tx of methanol poisoning
A
- ethanol, fomepezol
- folic acid
- possible hemodyalisis
15
Q
Sx of ethylene glycol
A
initial - CNS depression - hallucinations - coma and seizures second - 12-24 hours - CV/resp depression
