alcohol

Question 1

alcohol withdrawal timeline

Answer 1

6-12h tremor, sweating, headache anxiety
12-24h hallucinations
24-48h seizures
48-72h delirium tremens

Question 2

what is delirium tremens

Answer 2

medical emergency associated with alcohol withdrawal
increased adrenergic activity
acute confusion
severe agitation
delusions and hallucinations
tremor
tachycardia
hypertension
hyperthermia
ataxia
arrhythmias

Question 3

management of alcohol withdrawal

Answer 3

benzo - chlordiazepoxide
diazepam
high doese vit b im or iv
thiamine - for wernicke-kersakoff

Question 4

long term management of alcohol

Answer 4

specialist service
detox
oral thiamine
CBT
disulfiram
DVLA

Question 5

wernicke-korsakoff

Answer 5

alcohol - b1 deficiency
confusion
oculomotor disturbance
ataxia

then - memory impairment
behaviour changes
- often irreversible

medical emergency - high mortality