It's 2AM and you're in charge (scenarios)
What is 27111!! (SSEH switch)
What are common mild withdrawal signs and symptoms?
Tremor, sweating, anxiety
What is malnutrition?
The assessment tool we use at Prince of Wales for someone who drinks alcohol
What is alcohol withdrawal scale?
A patient is yawning, has dilated pupils, diarrhoea and muscle aches. Last used heroin 12 hours ago. What would our treatment/care plan look like?
What is opioid withdrawal? (Initiate COWS, provide symptomatic relief)
First line medication class for alcohol withdrawal
What is benzodiazepines?
A PWID presents with temperature and feeling generally unwell, what would you consider?
What is sepsis? Abcess?
Missing this vitamin can lead to preventable brain injury in alcohol withdrawal
What is thiamine?
A patient uses alcohol, benzos, and meth. They are agitated, tachycardic, and not sleeping. What do we do?
What is the highest risk of withdrawal? (alcohol/benzo)
The blood test that can alter treatment approaches for clients with alcohol use disorder?
The information you need to receive before giving a client their OAT (methadone, suboxone, buvidal etc.)
What is last dose details?
This approach is key to management rather than medications?
Supportive care and community follow up
Client presents with vomiting, nausea and abdominal pain? He has been smoking cannabis daily for years, last time was an hour ago?
What is cannabis hyperemesis? Hot tip: ask them if a shower relieves it
A patient on alcohol withdrawal scale and loading regime is now drowsy, slurring words and hard to rouse after 40mg of Diazepam
What is recognising over-sedation, withholding further doses and urgent medical review?
Unlike alcohol or benzos, stimulant withdrawal is typically not managed with this.
What is routine pharmacotherapy (no specific first-line medication)?
This withdrawal type takes priority due to the risk of death
A client presents sweating, tremor and anxious. He reports it's alcohol withdrawal, but he smells like alcohol?
This syndrome presents with confusion, ataxia and eye movement abnormalities
What is Wernicke's encephalopathy (or Werincke-Korsakoff syndrome)
This medication can initiate precipitated withdrawal?
What is buprenorphine?
The dose of Diazepam someone would get if they had a history of withdrawal seizures
What is the loading regime? 20mg PO Diazepam 2 hourly, until sedated or max of 80mg