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15 Cards in this Set

  • Front
  • Back
Aloholic Hepatitis
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
Heaptic Encaphalopathy
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
Alcohol myopathy
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.
Wernicke's encaphalopathy
Most serious form of thiamin deficiency in alcoholic pt's.
SSX: Paralysis of ocular muscles, diplopia, ataxia, somnolence and stupor
Korsakoff's psychosis
Syndrome of confusion, loss of recent memory, and confabulation in alcoholic pt's. Wernicke's-Korsakoff occur together
Phase I: Pre-alcoholic phase
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
Phase II: Early alcoholic phase
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
Phase III: The Crucial Phase
1. Person has lost control, physiological dependence is evident
2. The choice to drink isn't there
3. Person has physiolgical withdrawals
Phase IV: The Chronic Phase
1. Characterized by emotional and physical disintegration
2. Person is usually intoxicated more often than sober
3. Risk for suicide and pity
Withdrawal of sedative, hypnotic, or anxiolytic drugs
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
Patterns of Use/Abuse with CNS Stimulants
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
Withdrawal symtpoms from Amphetamines and Cocaine
Dysphoria, fatigue, sleep disturbances, increased appetite, psychomotor retardation or agitation
Withdrawal from Caffeine
Headache, fatigue, anxiety, irritability, depression, impaired psychomotor performance, N/V, craving for caffeine, & muscle pain and stiffness
Withdrawal from Nicotine
Dysphoria, anxiety, difficulty concentrating, restlessness, insomnia, irritability, frustration, decreased heart rate and increased appetite
CNS Stimulant Intoxication is LIFE THREATENING
B/C of the increased myocardial demand