Alcohol Flashcards

1
Q

2 Enzymes involved in alcohol metabolism

A

Alcohol and Aldehyde Dehydrogenase

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2
Q

2 Treatment options for Methanol/Ethylene Glycol intoxication

A

Fomepizole, Ethanol

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3
Q

3 Drugs approved by FDA for Tx of Alcoholism

A

Disulfiram (Antabuse), Naltrexone (ReVia), Acamprosate (Campral)

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4
Q

3 Treatments for Withdrawing Patient:

A

(1) Benzo: Diazepam; (2) Thiamine; (3) Electrolytes

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5
Q

4 Treatments for Intoxicated Patient:

A

(1) ABCs; (2) Dextrose; (3) Thiamine; (4) Electrolytes

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6
Q

Acamprosate

A

Weak NMDA Antagonist, activator of GABAa receptors

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7
Q

Adverse effects of Acetaldehyde

A

Nausea, thus premise of Disulfram use in chronic alcoholics

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8
Q

Adverse effects of Ethylene Glycol

A

Acidosis, Nephrotoxicity

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9
Q

Adverse effects of Methanol

A

Acidosis, Retinal Damage

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10
Q

Alcohol DH competitive inhibitor

A

Fomepizole

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11
Q

Antidote to NAPQI (Acetominophen intermediate)

A

N-Acetylcysteine

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12
Q

Disulfiram

A

Inhibits Aldehyde Dehyrdrogenase; Encourages abstinence from alcohol

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13
Q

Disulfiram-like effects

A

Increase Acetylaldehyde levels

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14
Q

Drug interaction for Ethanol in Diabetics

A

Increased risk of Hypoglycemia

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15
Q

Ethanol is an important inducer of ___

A

CYP2E1

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16
Q

Fomepizole

A

Alcohol DH competitive inhibitor

17
Q

For both Ethylene Glycol and Methanol, the conversion to toxic products involves

A

Alcohol DH

18
Q

Highly reactive intermediate of Acetominophen

A

NAPQI

19
Q

Inhibition of what enzyme causes facial flushing after ethanol consumption

A

Aldehyde DH

20
Q

Inhibits Aldehyde Dehyrdrogenase; Encourages abstinence from alcohol

A

Disulfiram

21
Q

Interaction b/t Ethanol and NSAIDS/Anticoagulants

A

Increased risk of bleeding

22
Q

Metabolism of alcohol is ___ order metabolism

A

Zero

23
Q

mu opiate receptor antagonist; decreased reward

A

Naltrexone

24
Q

Naltrexone

A

mu opiate receptor antagonist; decreased reward

25
Q

There is very little involvement of ___ in the processing of alcohol

A

CYP metabolism

26
Q

Weak NMDA Antagonist, activator of GABAa receptors

A

Acamprosate

27
Q

Wernicke-Korsakoff Syndrome

A

Alcohol toxicity secondary to Thiamine Deficiency

28
Q

Why might Lorazepam be preferable to Diazepam in Withdrawing patient

A

Concerns over hepatic function