Seizures 101
Common treatment for patient with CIWA score of 21
What are benzodiazepines?
Mechanism of action of naltrexone
What is opioid antagonist?
Grand mal seizures, negative BAC
What are benzodiazepines?
What is marijuana?
CIWA scale score range indicating need for supportive treatment without pharmacological intervention
What is 0 to 8?
Important predictor of withdrawal seizures
What is past history of withdrawal seizures?
Causes unpleasant effects when even small amounts of alcohol are consumed
What is Cannabis?
Increased MCV, Decreased B12, Decreased Folic Acid
What is Alcohol?
Clinically significant CAGE screening
What is 2 or more?
Vital sign correlating with risk for seizures
Fever
Not naltrexone, a different drug used to decrease alcohol cravings
What is acamprosate? (i.e. Campral)
Piloerection, dilated pupils, rhinorrhea
What are opiates?
Increased energy, sexual stimulation, decreased appetite; hallmark of toxicity may include combative, violent behavior; psychosis may be pronounced
What are Bath Salts?
Five categories on the COWS scale
What are resting pulse rate, sweating, restlessness, pupil size, bone or joint aches, runny nose/tearing, GI upset, tremor in hands, yawning, anxiety, gooseflesh skin
Timeframe for seizure onset in alcohol withdrawal
What is 7 to 48 hours?
Medication Assisted Treatment for Opiate Use Disorder, unlikely to cause overdose
What is suboxone?
tachycardia, pins and needles, light sensitivity, anxiety
What is Alcohol?
Pinpoint pupils, respiratory depression
What are opiates?
Popular 10-item screening tool for Alcohol Use Disorder
AUDIT (Alcohol Use Disorders Identification Test)
Medication used to treat withdrawal symptoms, may mask early changes in vital signs and increase seizure risk
What is Clonidine?
Action needed 5 minutes following Narcan administration in patient with breathing difficulty
What is re-administration of Narcan?
Dysphoric mood, fatigue, increased appetite, vivid/unpleasant dreams
What are stimulants?
Dilated pupils, edentulous
What is methamphetamine?
"G" is CAGE Screening
What is "Have you ever felt Guilty about your drinking?"