Addiction Flashcards
What are the 5 stages of change?
- Pre-contemplative (denial)
- Contemplative (accepted)
- Preparation (first steps)
- Action
- Maintenance
What are the 5 stages of change?
- Pre-contemplative
- Contemplative
- Preparation
- Action
- Maintenance
What are signs of Alcohol intoxication?
Disinhibition
Slurred speech and ataxic gait
N/V, coma
What is the treatment for severe alcohol intoxication?
Thiamine FIRST
D50 (glucose/folic acid)
To prevent Wernicke’s Encephalopathy what is the order of treatment?
Thiamine
D50 (glucose/folic acid)
Wernicke’s Encephalopathy is reversible. What are the signs?
Ataxia
Encephalopathy
Ocular manifestations
Korsakoff’s is irreversible. What is the main sign?
Confabulation
For what 2 substances can withdrawal be FATAL?
Alcohol
Benzodiazepines
How long after Alcohol/Benzodiazepines withdrawal do symptoms begin to arise?
48-72 hours
What are the main withdrawal symptoms from Alcohol/Benzodiazepines?
EXCITATION
- Agitation
- Diaphoresis
- Tremor and Seizures
What are the main withdrawal symptoms from Alcohol/Benzodiazepines?
EXCITATION
- Agitation
- Diaphoresis
- Tremor and Seizures
Why are withdrawal symptoms from Alcohol/Benzodiazepines excitatory?
Alcohol and Benzos increase GABA = inhibition
–> Without GABA = no inhibition = excitation
What clinical score can be used to grade withdrawal from Alcohol/Benzodiazpines?
CIWA score
What is the treatment for Alcohol/Benzodiazepines withdrawal?
Benzodiazepine taper
What is the treatment for Alcohol/Benzodiazepines withdrawal?
Benzodiazepine taper
What specific lab changes may you see with Alcohol Use Disorder?
Elevated AST»ALT; High LDH too