Ethanol toxicity
Background
CAGE
C- can you cut down
A- anyone annoyed
G- Guilty about drinking
E- Eye opener in am?
Diagnosis
- withdrawals sxs- dysphoria, insomnia, anxiety, irritable, nause, agitation, tachy, HTN- all same for all three classes of drugs but complications and tx different
- substance abuse tx- detox, abstinence, reduce withdrawal sxs, retain pt in tx
- ongoing tx needed to maintain tx
- substitute long acting agent for abused drug and then taper- med should be oral, low potential for abuse/ overdose and low side effects
- out pt is mild to moderate
- inpt if DT's, psychotic, depressed
- behavioral interventions- contingency management, motivation, cognitive therapy
ETOH Metabloism
20-40 per hour
May D/C at <200 (Harbor)
See Also
FEN: Beer Potomania Syndrome
Tox: ETOH Withdrawl
Source
PANI 9/09