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
2
Q
ETOH withdrawal: minor
A
6-12 hrs after last drink tremors hyper-dynamic vital signs sweating diarrhea
3
Q
ETOH withdrawal: moderate
A
12-24 hr after last drink
nightmares
visual hallucinations
4
Q
ETOH withdrawal: severe
A
24 hr after last drink
seizures
rum fits
delerium tremens
5
Q
delerium tremens
A
confusion hallucinations tremors hyperdynamic vitals agitation 25% mortality
6
Q
ETOH withdrawal treatment
A
BENZOS!!! coma thiamine fluids nutrition
7
Q
Wernicke encephalopathy
A
low thiamine, etoh abuse
acute/subacute
8
Q
wernicke encephalopathy triad
A
ataxia
ophthalmoplegia
encephalopathy
(confusion, short term memory impairment)
9
Q
Korsakoff amnesia
A
low thiamine, long term etoh abuse anterogrde and/or retrograde amnesia confusion apathy chronic, non-reversible