Mental Health Module 6 - ETOH Flashcards
ETOH maintenance drugs
acamprosate
naltrexone
disulfiram
clonidine
Complications of chronic alcohol use
cirrhosis
thiamine deficiency –> Wernicke encephalopathy
Seizures
develop 6-48 hours after last drink
Delirium tremens
develop 48-96 hours after last drink
potentially fatal
Alcohol hallucinosis
12-24 hours after last drink
Alcohol assessment tools
CIWA-Ar (Clinical Institute Withdrawal Assessment Alcohol-Revised)
CAGE
Medication management
benzodiazepines –> sedation, help prevent seizures
thiamine
IV fluids (dextrose to prevent hypoglycemia)
Korsakoff syndrome
memory disorder usually follows WE
anterograde/retrograde amnesia
tremor
coma
disorientation
vision problems
Wernicke’s encephalopathy
degenerative brain disorder caused by thiamine deficiency
mental confusion
vision problems
coma
hypothermia
low BP
ataxia
Common vitamin deficiencies
thiamine (b1)
folate
iron
vitamin b6
What is Vitamin B1
Thiamine