Substance Abuse

benryan95's version from 2017-10-29 11:04


Question Answer
Alcohol Withdrawal featuresAnxiety, sweating, tachycardia, tremor, then seizures, then delirium tremens
When do symptoms of alcohol withdrawal start?after 6-12 hours of last drink
When is peak incidence of seizures in alcohol withdrawal?36 hours after last drink
When is peak incidence of delirium tremens in alcohol withdrawal?48-74 hours after last drink
What are features of delirium tremens?coarse tremor, confusion, delirium, delusions, auditory and visual hallucinations, fever, tachycardia
What is the management of alcohol withdrawal?Chlordiazepoxide is first line with reducing dose protocol
Features of opioid misuserhinorrhoea, pinpoint pupils, drowsiness, watering eyes, needle tract marks
Complications of opioid misuseInfection secondary to needle misuse, VTE, overdose, dependency, social problems
Emergency management of opioid overdoseIV or IM naloxone
Long term management of opioid detoxificationmethadone or buprenorphine
Features of opioid overdoseDecreased level of consciousness, pinpoint pupils and respiratory depression (also seizures and muscle spasms)
Features of acute alcohol poisoningsevere confusion, lapses into and out of consciousness, vomiting, seizures, respiratory depression
Management of acute alcohol poisoningA to E approach, treat hypoglycaemia, administer thiamine, administer metadoxine
Medications for chronic alcoholismDisulfiram, naltrexone and acamprosate
Features of dependency (ICD-10)Compulsion, difficult to control, withdrawal, tolerance, neglect of other interests, persistence despite harm,

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