17 - Ethanol Part4

17 - Ethanol Part4 - Withdrawal state 1 Set of symptoms...

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Withdrawal state 1
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Set of symptoms seen when an individual reduces or stops alcohol consumption after prolonged period of excessive alcohol intake . Anxiety, tremor, irritability, dysphoria,, sweating, mood change, tinnitus, sleep abnormalities, retching, nausea, vomit, muscle cramps, malaise, weakness, headache, tachycardia, hypertension, depression, perceptual distortions, hallucinations, Delusion, disorientation, delirium, seizure . 2
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STAGING ? 3
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Alcohol withdrawal timeline Acute stage: 3-5 days . Sub-acute stage: approximately 3 weeks. During this time, individual may still be experiencing measurable cognitive deficits . Chronic stage: up to one year. Slow, steady improvement in cognitive functioning . 4
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Stages of acute withdrawal 1 . Tremors, excessively rapid heartbeat, hypertension, heavy sweating, loss of appetite and insomnia . 2 . Hallucinations: auditory, visual, tactile or a combination . 3 . Delusion, disorientation, delirium, sometimes intermittent in nature and usually followed by amnesia . 4 . Seizure activity . 5
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Onset Clinical Findings Uncomplicated alcohol withdrawal - 6 12 hours after stopping drinking - Peak at 48 hours - Subside over few days Coarse termor, nausea, vomit, malaise, headache, insomnia, weakness, sweating, tachycardia, hypertension, anxiety, depression, irritability, trancient hallucinations . Alcohol Withdrawal Fits 12 24 hours Generalised fits, unknown cause Alcohol Withdrawal Delirium(Delirium tremens ± - Sever withdrawal syndrome due to cortical and brain hyperexcitability - onset follows within a week of stopping drinking . - Last 2 to 4 days Disorientation, agitation, visual hallucinations, delusions, tremor, sweating, tachycardia, hyperthermia, cramps, paresthesia, nausea, and vomiting . -
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This note was uploaded on 12/21/2011 for the course STEP 1 taught by Professor Dr.aslam during the Fall '11 term at Montgomery College.

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17 - Ethanol Part4 - Withdrawal state 1 Set of symptoms...

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