42 - alcohol related illness Flashcards Preview

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Flashcards in 42 - alcohol related illness Deck (16)
1

labs for intoxication

1. blood ethanol - poor correlation
2. check for hypoglycemia in all comatose
3. lyte - K and Mg

2

mgmt of intoxication

- hold until GCS=15
- monitor those with decreased LOC
- thiamine 100mg
- IV with saline lock
- cannot give consent to care - keep restrained
-

3

Sx of withdrawal

- tachy
- HT
- anxiety
- diaphoretic
- N/V
- seizures
- DTs - delerium and hallucinations

4

main Tx of withdrawal

benzos
- assess with CIWA >8

5

typical seizures

- 8-48 hours
-brief generalized motor seizures
- after 48 hrs are part of DTs

6

what is wernickes triad

1. occularmotor dysfunction
2. cerrelbellar
3. global confusion
- give thiamine

7

3 reasons for hypokalemia

1. lower intake
2. renal losses
3. GI losses in vomit and diarrhea

8

3 alc. related CV diseases

1. HT
2. cardiomyopathy
3. holiday heart

9

what is holiday heart

acute on chronic use
- a-fib, aflutter, PAC, PVC

10

Sx of alcoholic ketoacidosis

- abdo pain and cramping
- N/V
- tachy and hypotension
- anion gap metabolic acidosis

11

what is good indiactor of other alcohol ingestion

osmolar gap >10

12

clinical features of isopropyl alcohol intake

- ketosis but no acidosis
- normal BG
- similar to alc poisoning but longer lasting
- fruity odor of acetone

13

Sx of methanol poisoning

12-18 hours after ingestion
- CNS depression
- visual disturbance
- abdo pain
- AG met acidosis
- osmolar gap
- possible renal failure

14

Tx of methanol poisoning

- ethanol, fomepezol
- folic acid
- possible hemodyalisis

15

Sx of ethylene glycol

initial
- CNS depression
- hallucinations
- coma and seizures
second
- 12-24 hours
- CV/resp depression

16

when to suspect ethylene glycol

- intox but no ethanol smell
- AG metacidosis
- osmolar gap
- calcium oxalate urine