Week 11- alcohol overdose

Question 1

what are the clinical presentations of alcohol OD/ intoxication

Answer 1

CNS depression
loss of inhabition, loss of judgment, vomiting, increased confidence, agitation, agression, disorientation, slurred speach, ataxia, nystagmum, tachycardia, hypotnesion, hypothermia

Question 2

what are the clincal presentations of alcohol poisioning?

Answer 2

confusion, loss of corodination, vomiting, seizures, irregular breathing, hypothermia, hypotension, stupor

Question 3

what are some complications of long term alcohol use?

Answer 3

cardioa- Afib, cardiomyopathy, clotting problems

gastrointestinal - liver diseas, hepatitis, GI bleeds, enlarged liver

malnutrition, vitamin deficensy, dehydration

alcoholic ketoacidosis, electrlyte imbalences

CNS- memeory probelms, subdural haemorrage

Question 4

what is the managment of intoxicated paitents?

Answer 4

supportive care
identify and manage co-exostong conditions
resus/monitoring

hypoxia, hypovolemia/dehydration/nausea/vomiting/agression

Question 5

what can happen with the sudden withdrawal of long term alcohol use?

Answer 5

autonomic excitation - tremors sweating, agitation, tachy, hyperthermia, hypertension

neuro- hyperreflexia, hallucinations, seizures, nightmares
delerium

Question 6

what is the mangment for alcohol withdrawl?

Answer 6

supportive care
exclude other causes
IV
manage dehyrdration and seizures
request MICA

Question 7

what products contain methanol?

Answer 7

antifreeze preperations
polishes
pesticides
industrial products
paint thinners
methylated spirits

Question 8

what is the mangment of methanol poisioning?

Answer 8

ABCs
MICA
treate seizures
check BSL
antidote

Question 9

what are the CNS mechanisims of alcholol?

Answer 9

impared nerve transmission
inhibitory calcium entry into nerve cells - enhancing GABA
affecrs pituitary gland inhibiting ADH

Question 10

what are the circulatory mechanisims of alcohol?

Answer 10

vasomotor neurons depressed causing vasodilation- hypotnsion, rapid heat loss, tachycardia

Question 11

what is the definition of alcohol intoxication?

Answer 11

point where CNS id depressed enough to cause alterations in mood, physical and mental abilities

Question 12

whatis the definition of alchol poisioning?

Answer 12

condition where a toxic amount of alcohol has been cosnumed causinf CNS to become so depressed that there are life threatening consequences

Question 13

what is the definition of alcoholism?

Answer 13

physical or psychological dependence on alcohol and the need to consume it despite the negatve eddexts

Question 14

what is the toxidrome assocaited with methanol poisining

Answer 14

visual imparement/blindness
CNS depression
metabolic acidosis

Question 15

what is a lethal dose of methanol?

Answer 15

0.05-0.1 ml/kg

Question 16

what is toxic about methanol?

Answer 16

the metabolites - formic acid, and formeldohyde

Question 17

what is the toxidrome effects of ethylene glycol? where is it found and how much is a lethal dose?

Answer 17

CNS depression, metabolic acidosis and renal failure. 1 ml/kg lethal and found in antifreesze

Question 18

what are the symptoms of alcoholic ketoacidosis?

Answer 18

severe nausea and hyper emisis
severe abdominal pain
tachycardia
hypotension
increased respiratory rare

Question 19

what is the cage assessment for alcohol problems?

Answer 19

C- have u felt the need to cut down?
A- do you feel annoyed when people complain about your drinking
G- do you ever feel guilty about drinking
E- do you ever drink an eye opener in the morning to feel good?

2 or more - pt has problem