Alcohol Withdrawal

Question 1

Alcohol withdrawal

Answer 1

the changes the body goes through when a person suddenly stops drinking after prolonged and heavy alcohol use

Question 2

stage 1 of withdrawal:

Answer 2

stage 1- tremors, excessively rapid heartbeat, heavy sweating, loss of appetite, and insomnia

Question 3

stage 2 of withdrawal:

Answer 3

hallucinations (auditory, visual, and tactile, or a combination) and rarely olfactory (tx with benzos)

Question 4

stage 3 of withdrawal:

Answer 4

delusions, disorientation, delirium, sometimes intermittent and usually followed by amnesia

Question 5

stage 4 of withdrawal:

Answer 5

seizure activity

Question 6

Symptoms:

Answer 6

trembling (first) and then following by insomnia, anxiety, nausea, unstable bp, irregular breathing, depression and emesis. Within 48 hours, delusions and hallucinations begin. Hallucinations most often appear as ants or spiders on the skin. This indicated the nervous system is hyper excitable. Hallucinations last from days to weeks. Symptoms usually subside in five to seven days but can last up to several weeks.

Question 7

TX

Answer 7

first line Benzo’s. Important to remember due to the high dose needed to manage withdrawal symptoms the cognition is affected and can result in anterograde amnesia

Question 8

Meds

Answer 8

Antabuse, Naltrexone, Campral, Librium, and Diazepam

Question 9

AUDIT:

Answer 9

Alcohol Use Disorder Identification Test

• 10 item screening tool developed by the WHO to assess alcohol consumption, drinking behaviours, and alcohol related problems
• a score of 8 or more indicates harmful and hazardous alcohol use

Question 10

CAGE

Answer 10

Cut-down, Annoyed, Guilty, Eye-opener

• a questionnaire that detects alcoholism in heavy drinking or the alcohol dependent population
• CAGE is an acronym for the questions… 1) have you ever felt you should cut down on your drinking… 2) have people annoyed you for criticizing your

Question 11

CAGE stands for what?

Answer 11

CAGE is an acronym for the questions… 1) have you ever felt you should cut down on your drinking… 2) have people annoyed you for criticizing your drinking?… 3) have you ever felt bad or guilty about your drinking?…. 4) have you ever had a drink in the morning to get rid of your hangover?

Question 12

Score of what on the CAGE indicates a problem,

Answer 12

2 or more