Alcohol Withdrawal Syndrome Flashcards
1
Q
AWS Prevention / Treatment
A
Benzodiazepines
2
Q
AWS Adjunctive Therapies
A
- Clonidine
- Haloperidol
3
Q
AWS Clonidine Safety Concerns
A
- Cardio
- Circulatory
4
Q
AWS Clonidine Indication
A
Autonomic system control
5
Q
AWS Haloperidol Safety Concerns
A
QTc prolongation
6
Q
AWS Haloperidol Indication
A
Psychotic system control
7
Q
AWS Can Combine with Benzodiazepines
A
Dexmedetomidine
8
Q
Beer Potomania
A
Hypo-osmolality syndrome
- related to massive consumption of beer
- which is poor in solutes and electrolytes.
9
Q
Beer Potomania Major Symptoms
A
- Seizure
- Coma
10
Q
Beer Potomania w/ Major Symptoms - Treatment
A
- NS 500 cc
- Goal: Na rise 2-3 mEq/L/hr x 2-3 hrs
11
Q
Beer Potomania Asymptomatic - Treatment
A
Fluid restriction
12
Q
Wernicke’s Enchephalopathy
A
- Inadequate supply of thiamine to the brain
13
Q
Wernicke’s Enchephalopathy Clinical History
A
- Weight loss in past year
- Reduced BMI
- General clinical impression of patient’s nutritional status
- High dietary carb intake
- Recurrent episodes of vomiting in past month
- Co-occurrence of other nutritionally related conditions: polyneuropathy, amblyopia, pellgra, anemia
14
Q
Wernicke’s Enchephalopathy Early Signs-Symptoms
A
- Loss of appetite
- Nausea/vomiting
- Fatigue, weakness, apathy
- Giddiness, diplopia
- Insomnia, anxiety, difficulty in concentration
- Memory loss
15
Q
Wernicke’s Enchephalopathy Later Signs-Symptoms
A
- Classic triad: oculomotor abnormalities, cerebellar dysfunction (ataxia) and confusion
- Quiet global confusion with disorientation in time/place
- Confabulation/hallucinations
- Onset of coma
