Test #4

Front 1

Aloholic Hepatitis

Back 1

1. Caused by LT heavy alcohol use
2. SSX: Enlarged, tender liver, lethargy, anorexia, elevated white cell count, fever, and jaundice
**With absence of alcohol & increased nutritional intake=full recovery
If not=cirrhosis ofliver

Front 2

Heaptic Encaphalopathy

Back 2

Occurs in response to the inability of the liver to convert ammonia to urea for excretion. the continued rise in ammonia leads to coma and eventual death.
**Give lactulose or Neomycin as the antidote

Front 3

Alcohol myopathy

Back 3

Result from Vitamin B deficiency that contributes to peripheral neuropathy.
Acut: Sudden onset of muscle pain, swelling and weakness
a. Reddish tinge to the urine and a rapid rise in muscle enzymes in the blood. Similar to MI
Chronic: Gradual wasting and weakness in skeletal muscles
a. Pain is no longer felt due to nerve damage.

Front 4

Wernicke's encaphalopathy

Back 4

Most serious form of thiamin deficiency in alcoholic pt's.
SSX: Paralysis of ocular muscles, diplopia, ataxia, somnolence and stupor

Front 5

Korsakoff's psychosis

Back 5

Syndrome of confusion, loss of recent memory, and confabulation in alcoholic pt's. Wernicke's-Korsakoff occur together

Front 6

Phase I: Pre-alcoholic phase

Back 6

Characterized by use of alcohol to relieve everyday stress and tension of life.
Tolerance develops at this stage and the amount required to achieve desired effects are increased

Front 7

Phase II: Early alcoholic phase

Back 7

1. Begins with blackouts-period of amnesia
2. Alcohol is now required
3. Begin sneaking drinks
4. Becomes preoccupied with maintaining supply
5. Feels guilty and defense mechanims kick in
6. Begin to miss work/school

Front 8

Phase III: The Crucial Phase

Back 8

1. Person has lost control, physiological dependence is evident
2. The choice to drink isn't there
3. Person has physiolgical withdrawals

Front 9

Phase IV: The Chronic Phase

Back 9

1. Characterized by emotional and physical disintegration
2. Person is usually intoxicated more often than sober
3. Risk for suicide and pity

Front 10

Withdrawal of sedative, hypnotic, or anxiolytic drugs

Back 10

1. Tongue Fasiculations= tell pt to stick tongue and if the tongue has tremors (can't be faked) having withdrawal
2. Grandmal seizures- DT's

Front 11

Patterns of Use/Abuse with CNS Stimulants

Back 11

1. Individual begins to use for appetite-suppressant
2. People who use it on an episodic basis often "binge" on the drug with very high dosage and followed by a day or two with intense and unpleasant symtpoms (CRASH)
3. Chronic users: Take uppers in the AM and downers in PM

Front 12

Withdrawal symtpoms from Amphetamines and Cocaine

Back 12

Dysphoria, fatigue, sleep disturbances, increased appetite, psychomotor retardation or agitation

Front 13

Withdrawal from Caffeine

Back 13

Headache, fatigue, anxiety, irritability, depression, impaired psychomotor performance, N/V, craving for caffeine, & muscle pain and stiffness

Front 14

Withdrawal from Nicotine

Back 14

Dysphoria, anxiety, difficulty concentrating, restlessness, insomnia, irritability, frustration, decreased heart rate and increased appetite

Front 15

CNS Stimulant Intoxication is LIFE THREATENING

Back 15

B/C of the increased myocardial demand