Psych

Question 1

ETOH withdrawl- Sx

Answer 1

Onset up to 48 H after last drink, last up to 7 days

• Anxiety, tremor
• Seizures, hallucinations
• Delirium tremens (disorient, agitate, hallucin, high BP, HR)

Question 2

ETOH withdrawl- Tx

Answer 2

• Benzos- diazepam
• Thiamine to prevent wrenches
• Volume
• K, Mg, PO4

Question 3

CIWA

Answer 3

• QH until 8

Question 4

Opioid withdrawal- Sx

Answer 4

• 36-72 H after heroin, short acting - last 7-10 d
• Methadone 72-96 H, last 14 d
  Sx: dilated pupils, tearing, runny nose, N/V, diarrhea, abd cramps, myalgia

Question 5

Opioid withdrawal- Tx

Answer 5

• Benzos
• Muscle relaxants
• Methadone
• Clonidine