7. Substance misuse Flashcards
1
Q
Alcohol unit
A
1 unit of alcohol = 10 ml or 8 mg of pure alcohol
2
Q
Number of units consumed=
A
(%alcohol x volume consumed)/1000
3
Q
Alcohol withdrawal symptoms
A
- Seizures or delirium tremens
4
Q
Delirium tremens
A
Consists of autonomic instability, agitation, paranoia, visual and auditory hallucinations, altered conscious level.
5
Q
Wernicke’s Encephalopathy
A
Triad of Confusion, Ataxia and Opthalmaplegia related to alcoholic thiamine deficiency.
6
Q
Korsakoff’s Amnesic Syndrome
A
in 80% of those with Wernicke’s – Anterograde and retrograde amnesia, confabulation and behaviour change
7
Q
Withdrawal management:
A
- Inpatient Benzodiazepines (chlordiazepoxide) with fixed reducing withdrawal regimen (5-7d)
- IM/IV Pabrinex or oral thiamine alongside
