Substance-use Disorders

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8 Terms

1
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what are the only 2 substances that have life-threatening withdrawal

alcohol and benzos

2
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triad for wernecke’s encephalopathy

  1. ophthalmoplegia

  2. confusion

  3. ataxia

3
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korsakoff’s psychosis

(caused by thiamine/B1 deficiency from alcohol)

  1. anterograde amnesia

  2. retrograde amnesia

  3. confabulation

4
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stages of alcohol withdrawal

  1. minor withdrawal (6-12 hours) → tremors, irritability, anxiety, headache, tachycardia, insomnia

  2. alcoholic hallucinations (12-24hours) → auditory & visual (sometimes tactile too)

  3. withdrawal seizure (24-28 hours) → generalized tonic-clonic seizure

  4. delirium tremens (48-96 hours) → delirium, severe autonomic instability, disorientation, hallucinations, agitation

5
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1st line for alcoholic withdrawal

benzos

6
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order of supportive management for alcohol withdrawal

thiamine BEFORE glucose

7
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how to treat hallucinations in alcohol withdrawal

antipsychotic with taper (haloperidol 5 mg)

8
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which protocol is used for alcohol use

CIWA