alcohol Flashcards
CIWA SCORE
used for alcohol withdral how severe it is and if patient needs withdrawal meds
typical choice of withdrawl drug and why
chlordiaxipide, it is used to calm down the agitation caused withdrawal it is a benzo.
what to give in opiod overdose
NALOXONE
how much does ciwa need to be to ocnsider withdrawl drugs
khadjah said 10
google says 8?
what is delerium tremens when does it usually set in and mention eveyhring about it
why does it happen
caused by withdrawl of alcohol
person is delerious, can include shaking, tremors, tachy, hallucinations
around 2/3 days after going cold turkey
its important to treat as you can do
the reason it happens is because alcohol chronically is a CNS depressant howver when you abruptly stop the reverse effect happens and the cns becomes overly excited hence tremors, agitation , tachy
alcholic comes in with abdo pain what do you need to exclude
- Alcoholic gastritis
- pancreatitis
you cant send a pt home if (alcoholic)
CIWA IS MORE THAN 10
someone coming in with withdrawal whats an important q to ask
why did they stop ?
have they previously tried to stop
any external factors that could be contributing to drinking habits
trying to quit
feeling unwell and attributed it to the alcohol
cant afford it
signs of dependance
1. do you have to drink more than u used to in order to get the same effects
2. do you get shaky irratbel when you stop
depression
how has your mood/mental health been lately
any self harm/suicide
recomended units of alochol
14 units spread out over 3/4 days
important q when taking a hisitory
when was your last drink
how much do you drink a day?
ever had a seizure
are you on any meds which could potetiate the effects of alcohol like warafrin, (bleeding), benzos (cns depressant)
negative effects of alcohl
- slows reaction time affectes yourt thinking
- decreased blood sugar (tends to be more focused with diabteics and not normal people? so esp people with diabetes as it reduces the livers ability to relased glucose or esp if you drink on an empty stomach. over time howver it decreases the ability of insluin so you get high blood sugar
- liver cirrohis jaundice or fatty liver
- fat- high in calories and slows down metabolism and increases hunger hence why kebabs
- pancreatitis
risk of stroke
risk of heart disease , cardiomyopathy(dilated)
cancer , breast (increases oestrogen), mouth cancer, throat, esapheagl colorectal
depression
insomnia
increased risk of bleeding from simple nosebleed to upper gi bleeding, hemorragic stroke as interferes with plt function
weakens immune system
if somoen has problemantic drinking always
TRY TO ENCOURGAE HELP AND REFER TO ALCOHOL CARE TEAM (IF THEY CONSENT)
FORMULA FOR WORKING OUT UNITS
GEEKY MEDIS
1 UNIT OF ALCOHOL
is 10 ml of alcohol
8 g
remember theres a unit calculator to work out on alcohol change website
