Alcohol Use disorder Flashcards
(32 cards)
What are the signs of alcohol withdrawal?
Hallucinations
autonimic=sweating, HR
Seizures
Anxiety
Psychomotor agitation
insomnia
nausea
tremor
When does AWS peak?
2-3 days
When does delirium tremens happen?
48 hrs to 96 hours
How can we predict alcohol withdrawal? What us a high risk score?
PAWSS score
>4
What drug do we use for seizures and delirium?
benzos
What can we do for the anxiety, hypertension and tachycardia?
clonidine
What only other medication MAY help with alcohol withdrawal seizures?
Phenobarbital
What drug for hallucinations?
haloperidol
Differences between benzos?
Lorazepam-shorter acting, takes a bit longer to work better for hepatic issues
lorazepam can be given IM, subcut
For CIWA what is moderate and severe?
> 10 needs treatment
Mod=>15
Severe=>20
When must you hold the benzo?
if SBP<90 or RR <10
What other supportive care for AWS?
thiamine- prevent wernicke
folate- anemia
multivitamin
electrolytes and fluids
Long term complications of Alcohol use?
hepatic, arrhythmia, HTN
Stages of thinking of quitting alcohol?
pre contemplation-no interest
contemplation-thinking
prep
Action
maintenance
AUD clinical markers
MCV>96
AST:ALT >2:1
GERD,HTN
Cog issues
Standard drink sizes?
can of beer
5 oz of wine
3 oz
Canada guidlines for drinks?
0=best
<2=low risk
How does naltrexone work?
blocks euphoric effects= prevents a lapse from relapse
How does acamprosate work?
restore imbalance of GABA and glutamate
When to use acamprosate over naltrexone?
bad liver or opioid use as well
Which agent prevents lapse?
acamprosate
Dose of acamprosate?
666mg
How to dose naltrexone?
slowly due to gi upset
Monitoring of naltrexone?
LFTs
