Alcohol withdrawal Flashcards
1
Q
Presentation
A
Onset: 6-8 hours after last drink Peak: 10-30 hours Subsides: after 40-50 hours Fits occur: 12-48 hours Anxiety Sweating Insomnia Fever Tachycardia Hypertension Nausea and vomiting Agitation Hallucinations DELERIUM TREMENS
2
Q
Delerium tremens
A
Auditory/visual hallucinations Change in consciousness Confusion Delusions Paranoia Agitation Tremor ++++ Seizures Autonomic overactivity
3
Q
Risk factors
A
High alcohol use PMH of severe withdrawal Other drug use concomitantly Low K, Mg, glucose Concomitant infection
4
Q
Complications
A
Wernicke’s encephalopathy
Korsakoff’s syndrome
5
Q
Wernicke’s encephalopathy
A
Neurological disorder Caused by thiamine deficiency Typically from chronic alcoholism Mental confusion, abnormal eye movements and unsteady gait Reversible
6
Q
Korsakoff’s
A
Chronic memory disorder
Confabulation
Thiamine deficiency
Irreversible
7
Q
Management
A
Pabrinex
Chlordiazepoxide
Correct electrolytes
