Flashcards in Ch 12 Substance Use Disorders Deck (8)
Effects of withdrawal usually start when?
They usually start within 4-12 hours of the last intake of alcohol, peak after 24-48 hours and subside within 5-7 days, unless alcohol withdrawal occurs.
What are manifestations of withdrawal?
Nausea, vomiting, tremors,restlessness, inability to sleep, depressed mood, or irritability, increased HR, BP, respiratory rate, temperature and tonic clinic seizures......illusions are also common.
How soon may alcohol delirium occur after cessation of alcohol?
Alcohol withdrawal delirium may occur 2-3 days after cessation of alcohol, may last 2-3 days and is considered a medical emergency...
Findings include severe disorientation, psychotic manifestations ( hallucinations), severe hypertension, and cardiac dysrhythmias that may progress to death.
Give examples of benzodiazepines that are used for detoxification of alcohol.
chlordiazeapoxide (Librium), diazepam ( Valium), lorazepam ( Ativan)
Intended effects are:
Maintenance of vital signs within normal limits
Decrease in the risk of seizures
Decrease in the intensity of withdrawal manifestations.
When should chlordiazeapoxide be administered?
Chlordiazeapoxide should only b administered if the is able to tolerate oral intake. Otherwise,use IV route for diazepam and lorazepam. The client may continue with lorazepam and diazepam orally.
What is the intended effect of carbamazepine relating to alcohol detoxification?
It decreases seizures
What is the intended effect of clonidine and propranolol related to alcohol withdrawal?
These meds depress the autonomic response( decrease in BP, HR)