Alcohol Flashcards
Responsible for ethanol metabolism at blood levels higher than 100mg/dl
Microsomal Ethanol Oxidizing System (MEOS)
At higher doses, alcohol exhibits __________ order kinetics
Zero
Inhibits aldehyde dehydrogenase
Disulfiram
Metronidazole
Oral hypoglycemics
Cephalosporin
Blood Alcohol Concentration?
Impaired Driving Ability
60-80 mg/dl
Blood Alcohol Concentration?
Emesis, Stupor
200-300 mg/dl
Blood Alcohol Concentration?
Coma
300-400 mg/dl
Blood Alcohol Concentration?
Death
> 500 mg/dl
Ataxia
Confusion
Ophthalmoplegia
Disease?
Wernicke-Korsakoff Syndrome
weird ACO!
Tx for Wernicke Syndrome
Vitamin B1
Brain changes in Wernicke-Korsakoff Syndrome
Bilateral hemorrhagic necrosis of mamillary bodies
How much alcohol is modest consumption, raising HDL levels and protecting against CAD?
10-15 g/day
Hallucinations
Autonomic Disability - unstable vital signsz
Delirium
48-72 hours post discontinuation
Delirium Tremens
Tx for Alcohol Withdrawal Syndrome
DOC is long acting benzodiazepine
Diazepam, Chlordiazepoxide
Short acting benzodiazepine is preferred in pxs with compromized liver fxn
Drugs for Alcoholism
Naltrexone: Opioid receptor antagonists (cravings)
Acamprosate: NMDA receptor antagonist
Disulfiram: inhibits aldehyde dehydrogenase
Drugs with Disulfiram Reactions:
CHLOe PErsonally MAkes TEa PROduct METiculously
CHLOrpropamide CefoPERazone CefoMAndole CefoTEtan PROcarbazine METronidazole