The Alcohols Flashcards
1
Q
ADH Pathway
A
- Convert Alcohol to Acetaldehyde
- Most of it occurs in the stomach
2
Q
ALDH
A
- Acetaldehyde to Acetate in Liver
3
Q
Acute Alcohol Intox Rx
A
Glucose
Phosphate
Thiamine (Tx of Wernicke-Karsakoff Syndrome)
Potassium
4
Q
Alcohol Withdrawal Rx
A
- Substitute a Hypnotic for alcohol
- Gradual Tapering Dose
Chlordiazepoxide
Diazepam
Lorazepam (safer, not metabolized in liver)
Oxazepam (safer, not metabolized in liver)
5
Q
Tx of Alcoholism
A
- Naltrexone: Reduces craving and relapse
- Acamprosate: Weak NMDA antagonist, GABAa Agonist
- Disulfiram: Inhibits ALDH inhibitor; Sweating, headache, nausea, etc. few minutes after drinking alcohol
6
Q
Methanol Poisoning Rx
A
Ethanol
Fomepizole
Bicarb
Hemodialysis
7
Q
Ethylene Glycol Poisoning Rx
A
Ethanol
Fomepizole
Hemodialysis