Module 22A: Alcohol Abuse

Question 1

Abrupt withdrawal

Answer 1

Can lead to seizures

Question 2

Symptomstic treatment

Answer 2

Acetaminophen, vitamins, medicine for discomfort

Question 3

Treatment approaches

Answer 3

Fixed schedule dosing benzodiazepines (ativan)

Question 4

Symptom triggered approach having withdrawal related seizures

Answer 4

Phenytonin (Dilantin)

Question 5

Meds to cause illness when drinking (vomiting)

Answer 5

Disulfiram lofopran (anabuse)

Question 6

Assessment of alcoholism

Answer 6

Crisis assessment- used for rapid and consistent communication used if crisis threatens saftey

Question 7

Multi system effects of alcoholism

Answer 7

Liver- hepatitis and cirrhois
Respiratory- pneumonia
Cns- seizires, alcohol dementia

Question 8

Clinical manifestations of mild withdrawals

Answer 8

Anxiety, irritability

Begins 6-24 hours after last drink

Question 9

Alcohol withdrawal delirium (Dt)

Answer 9

Occurs on day 2 and 3
May appear as late as 14 days from last drink
Death can result from cardiovascular collapse or hyperthermia