STEP 2 Rapid Review Drug Withdrawal

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  1. Alcohol Withdrawl Symptoms
    • Tremor (6-12 hours)
    • Tachycardia, hypertension, agitation, seizures (<48 hrs)
    • Hallucinations, DTs (severe autonomic instability leading to tachycardia, hypertension, delirium, and possibly death. Morality is 15-20%)
  2. Alcohol Treatment
    • Benzodiazepines (can require massive doses)
    • Heloperidol for hallucinations
    • Thiamine, folate, multivitamin replacement (do no affect withdrawal, but most alcoholics are deficient)
  3. Barbiturates Withdrawal Symptoms
    Anxiety, seizures, delirium, tremor; cardiac and respiratory depression
  4. Barbiturate Withdrawal Treatment
  5. Benzodiazepines Withdrawal Symptoms
    Rebound anxiety, seizures, tremor, insomnia
  6. Cocaine/amphetamines Withdrawal
    Depression, hyperphagia, hypersomnolence
  7. Cocaine/amphetamines Withdrawal Treatment
    Supportive treatment. Avoid pure B-blockers (may lead to unopposed alpha activity, causing hypertension)
  8. Opioids Withdrawal Symptoms
    Anxiety, insomnia, flulike symptoms, piloerection, fever, rhinorrhea, lacrimation, yawning, nausea, stomach cramps, diarrhea, mydriasis
  9. Opioids Withdrawal Treatment
    Antiemetics, muscle relaxers, and NSAIDs for mild symptoms; clonidine, buprenorphine, or methadone for moderate to severe symptoms
  10. Neonatal abstinence syndrome
    • Heroine/opiate withdrawal of infant in first few days of life
    • irritability, high-pitched cry, poor sleeping, tremors, seizures, sweating, sneezing, tachypnea, vomiting, diarrhea
Card Set:
STEP 2 Rapid Review Drug Withdrawal
2012-05-04 16:21:55

withdrawal (is spelled weird)
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