Behavioral and Substance Use Disorder

Question 1

List the s/s of mild alcohol withdrawal

Answer 1

insomnia, tremulousness, hyperreflexia, anxiety, gastrointestinal upset, headache, chest palpitations with or without PVCs

Question 2

List the s/s of moderate alcohol withdrawal

Answer 2

photophobia, auditory sensitivity, tactile sensitivity, hypertension, tachycardia – without other
dysrhythmias, and diaphoresis

Question 3

List the s/s of severe alcohol withdrawal

Answer 3

altered sensorium, significant autonomic dysfunction, dysrhythmias, hypertensive crisis, hyperthermia, visual and auditory hallucinations, seizures

Question 4

What class of medications can present with similar withdrawal symptoms to alcohol?

Answer 4

Benzodiazepines and barbiturates

Question 5

Why would it be necessary to frequently re-dose alcohol withdrawal patients w/ severe agitation or seizures?

Answer 5

Alcohol withdrawal patients often rapidly metabolize benzodiazepines

Question 6

How long is an M0.5 hold active?

Answer 6

2 hours

Question 7

When would an emergency commitment (EC) hold be used?

Answer 7

Patients who are acutely intoxicated

Question 8

Who can implement an M1 hold?

Answer 8

Physicians, mental health workers, law enforcement

Question 9

What are common s/sx of opioid withdrawal?

Answer 9

N/V/D, agitation/anxiety, dilated pupils, increased HR, BP, and RR, diaphoresis