Withdrawals

Question 1

What

Answer 1

Patient is physically dependent, and substance abruptly stops

Question 2

Symptoms

Answer 2

cold shakes
chills/sweating
flu like
mood swings
anxiety/depression
n/v

Question 3

Abused Substances

Answer 3

1. CNS depressants
   - sedatives
   - opioids
   - alcohol
2. Cannabinoids
3. Hallucinogens
4. CNS stimulants:
   - caffeine
   - cocaine
5. Nicotine

Question 4

Acute Alcohol

Answer 4

Delirium Tremens
1. lorazepam/diazepam: decreases severity of withdrawal
2. anticonvulsants, antiseizure: decreases risk of seizure

Question 5

Liver Detoxification

Answer 5

15mL/hr

Question 6

Chronic Alcohol

Answer 6

Liver damage (cirrhosis): irreversible
- at risk for acute toxic syndrome from toxins built up
watch for bleeding (NSAIDS, warfarin)

Question 7

Alcohol Timeline

Answer 7

Last drink

1. 8hrs
   - n/v
   - stomach pain
   - tired/depression
2. 24 hrs
   - increase BP
   - anxious
   - irritable
   - mood swing
3. Both
   - last for 72 hrs
   - symptoms 1 and 2
   - seizure/hallucination

Question 8

Opioid Timeline

Answer 8

Last dose

6-12 hrs
- short acting

30 hrs
long acting

72 hrs
symptoms peak