etOh OD Flashcards

1
Q

Clinical presentation

A

peak etOh blood levels 60 min after ingestion
90% metab by liver
metabolized at 20/hr
80 is legally intoxicated
malnourished: low thiamine, electrolye d/o

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2
Q

ETOH withdrawal: minor

A
6-12 hrs after last drink
tremors
hyper-dynamic vital signs
sweating
diarrhea
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3
Q

ETOH withdrawal: moderate

A

12-24 hr after last drink
nightmares
visual hallucinations

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4
Q

ETOH withdrawal: severe

A

24 hr after last drink
seizures
rum fits
delerium tremens

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5
Q

delerium tremens

A
confusion
hallucinations
tremors
hyperdynamic vitals
agitation
25% mortality
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6
Q

ETOH withdrawal treatment

A
BENZOS!!!
coma
thiamine
fluids
nutrition
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7
Q

Wernicke encephalopathy

A

low thiamine, etoh abuse

acute/subacute

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8
Q

wernicke encephalopathy triad

A

ataxia
ophthalmoplegia
encephalopathy
(confusion, short term memory impairment)

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9
Q

Korsakoff amnesia

A
low thiamine, long term etoh abuse
anterogrde and/or retrograde amnesia
confusion
apathy
chronic, non-reversible
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