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%\usepackage{opensans}          % Can't make this work so far. Shame. Would be lovely.
\usepackage[normalem]{ulem}     % For underlining links
% Most of the following are not required for the majority
% of cheat sheets but are needed for some symbol support.
\usepackage{amsmath}            % Symbols
\usepackage{MnSymbol}           % Symbols
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% Document Info
\author{Shelbi (kfisher17)}
\pdfinfo{
  /Title (sud-ii-alcohol-benzo-s-and-stimulants.pdf)
  /Creator (Cheatography)
  /Author (Shelbi (kfisher17))
  /Subject (SUD II | Alcohol, Benzo's, and Stimulants Cheat Sheet)
}

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% Header and Footer
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\fancyhead{} % Set header to blank
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\fancyhead[L]{
\noindent
\begin{multicols}{3}
\begin{tabulary}{5.8cm}{C}
    \SetRowColor{DarkBackground}
    \vspace{-7pt}
    {\parbox{\dimexpr\textwidth-2\fboxsep\relax}{\noindent
        \hspace*{-6pt}\includegraphics[width=5.8cm]{/web/www.cheatography.com/public/images/cheatography_logo.pdf}}
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\columnbreak
\begin{tabulary}{11cm}{L}
    \vspace{-2pt}\large{\bf{\textcolor{DarkBackground}{\textrm{SUD II | Alcohol, Benzo's, and Stimulants Cheat Sheet}}}} \\
    \normalsize{by \textcolor{DarkBackground}{Shelbi (kfisher17)} via \textcolor{DarkBackground}{\uline{cheatography.com/79317/cs/21867/}}}
\end{tabulary}
\end{multicols}}

\fancyfoot[L]{ \footnotesize
\noindent
\begin{multicols}{3}
\begin{tabulary}{5.8cm}{LL}
  \SetRowColor{FootBackground}
  \mymulticolumn{2}{p{5.377cm}}{\bf\textcolor{white}{Cheatographer}}  \\
  \vspace{-2pt}Shelbi (kfisher17) \\
  \uline{cheatography.com/kfisher17} \\
  \end{tabulary}
\vfill
\columnbreak
\begin{tabulary}{5.8cm}{L}
  \SetRowColor{FootBackground}
  \mymulticolumn{1}{p{5.377cm}}{\bf\textcolor{white}{Cheat Sheet}}  \\
   \vspace{-2pt}Published 24th February, 2020.\\
   Updated 23rd February, 2020.\\
   Page {\thepage} of \pageref{LastPage}.
\end{tabulary}
\vfill
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  \mymulticolumn{1}{p{5.377cm}}{\bf\textcolor{white}{Sponsor}}  \\
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  \vspace{-5pt}
  %\includegraphics[width=48px,height=48px]{dave.jpeg}
  Measure your website readability!\\
  www.readability-score.com
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\end{multicols}}




\begin{document}
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% www.emerson.emory.edu/services/latex/latex_169.html
\footnotesize % Small font.

\begin{multicols*}{2}

\begin{tabularx}{8.4cm}{X}
\SetRowColor{DarkBackground}
\mymulticolumn{1}{x{8.4cm}}{\bf\textcolor{white}{MOA of Alcohol}}  \tn
\SetRowColor{white}
\mymulticolumn{1}{x{8.4cm}}{• Multiple; Not well understood \newline % Row Count 1 (+ 1)
• GABA receptor agonist \newline % Row Count 2 (+ 1)
• NMDA ({\emph{glutamate}}) receptor antagonist \newline % Row Count 3 (+ 1)
• Believed to have either a direct or indirect effect on the mu-opioid receptor ({\emph{associated with alcohol cravings and euphoria; reward pathway}})% Row Count 6 (+ 3)
} \tn 
\hhline{>{\arrayrulecolor{DarkBackground}}-}
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{8.4cm}}{• {\emph{GABA is an inhibitor NT}} \newline • {\emph{Glutamate is an excitatory NT}}}  \tn 
\hhline{>{\arrayrulecolor{DarkBackground}}-}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{8.4cm}{X}
\SetRowColor{DarkBackground}
\mymulticolumn{1}{x{8.4cm}}{\bf\textcolor{white}{Alcohol | Signs and Symptoms of Intoxication}}  \tn
% Row 0
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{8.4cm}}{Slurred speech} \tn 
% Row Count 1 (+ 1)
% Row 1
\SetRowColor{white}
\mymulticolumn{1}{x{8.4cm}}{Loss of coordination} \tn 
% Row Count 2 (+ 1)
% Row 2
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{8.4cm}}{Unsteady gait (staggering)} \tn 
% Row Count 3 (+ 1)
% Row 3
\SetRowColor{white}
\mymulticolumn{1}{x{8.4cm}}{Nystagmus (rapid, involuntary eye movement)} \tn 
% Row Count 4 (+ 1)
% Row 4
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{8.4cm}}{Impaired memory or attention} \tn 
% Row Count 5 (+ 1)
% Row 5
\SetRowColor{white}
\mymulticolumn{1}{x{8.4cm}}{Stupor or coma} \tn 
% Row Count 6 (+ 1)
\hhline{>{\arrayrulecolor{DarkBackground}}-}
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{8.4cm}}{{\emph{Can be mistaken for sedative intoxication ⇨ If the patient is conscious, ask them what they took}}}  \tn 
\hhline{>{\arrayrulecolor{DarkBackground}}-}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{8.4cm}{X}
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\mymulticolumn{1}{x{8.4cm}}{\bf\textcolor{white}{Signs \& Symptoms of Alcohol Withdrawal}}  \tn
% Row 0
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\mymulticolumn{1}{x{8.4cm}}{Sweating or HR \textgreater{} 100 BPM} \tn 
% Row Count 1 (+ 1)
% Row 1
\SetRowColor{white}
\mymulticolumn{1}{x{8.4cm}}{⬆ hand tremor} \tn 
% Row Count 2 (+ 1)
% Row 2
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{8.4cm}}{Insomnia} \tn 
% Row Count 3 (+ 1)
% Row 3
\SetRowColor{white}
\mymulticolumn{1}{x{8.4cm}}{Nausea ± Vomiting} \tn 
% Row Count 4 (+ 1)
% Row 4
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{8.4cm}}{Transient visual, tactile, or auditory hallucinations} \tn 
% Row Count 6 (+ 2)
% Row 5
\SetRowColor{white}
\mymulticolumn{1}{x{8.4cm}}{Psychomotor agitation} \tn 
% Row Count 7 (+ 1)
% Row 6
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{8.4cm}}{Anxiety} \tn 
% Row Count 8 (+ 1)
% Row 7
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\mymulticolumn{1}{x{8.4cm}}{Tonic-Clonic Seizures} \tn 
% Row Count 9 (+ 1)
\hhline{>{\arrayrulecolor{DarkBackground}}-}
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{8.4cm}}{{\emph{Tonic-Clonic Seizure: a seizure that involves a loss of consciousness and violent muscle contractions}}}  \tn 
\hhline{>{\arrayrulecolor{DarkBackground}}-}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{8.4cm}{x{1.76 cm} x{6.24 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{8.4cm}}{\bf\textcolor{white}{PK of Alcohol}}  \tn
% Row 0
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\seqsplit{Absorption} & Small intestine \tn 
% Row Count 2 (+ 2)
% Row 1
\SetRowColor{white}
 & Delayed gastric emptying and/or presence of food delays absorption \tn 
% Row Count 5 (+ 3)
% Row 2
\SetRowColor{LightBackground}
\seqsplit{Metabolism} & Zero-Order \tn 
% Row Count 7 (+ 2)
% Row 3
\SetRowColor{white}
 & Metabolized by alcohol dehydrogenase \tn 
% Row Count 9 (+ 2)
% Row 4
\SetRowColor{LightBackground}
\seqsplit{Elimination} & Mostly into CO2 and water \tn 
% Row Count 11 (+ 2)
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\par\addvspace{1.3em}

\begin{tabularx}{8.4cm}{X}
\SetRowColor{DarkBackground}
\mymulticolumn{1}{x{8.4cm}}{\bf\textcolor{white}{Treatment of Alcohol Intoxication}}  \tn
% Row 0
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\mymulticolumn{1}{x{8.4cm}}{ED visit, hospitalization, ICU admissions} \tn 
% Row Count 1 (+ 1)
% Row 1
\SetRowColor{white}
\mymulticolumn{1}{x{8.4cm}}{Supportive care based on symptoms and BAC} \tn 
% Row Count 2 (+ 1)
% Row 2
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\mymulticolumn{1}{x{8.4cm}}{ABC's {[}Airway, Breathing, Circulation{]}} \tn 
% Row Count 3 (+ 1)
% Row 3
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\mymulticolumn{1}{x{8.4cm}}{Manage nausea and vomiting} \tn 
% Row Count 4 (+ 1)
% Row 4
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\mymulticolumn{1}{x{8.4cm}}{Prevent aspiration} \tn 
% Row Count 5 (+ 1)
% Row 5
\SetRowColor{white}
\mymulticolumn{1}{x{8.4cm}}{Replace fluids (ie banana bags)} \tn 
% Row Count 6 (+ 1)
\hhline{>{\arrayrulecolor{DarkBackground}}-}
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{8.4cm}}{{\emph{Banana bags: Thiamine 100 mg, Folic Acid 1 mg, Multivitamin, ± magnesium}}}  \tn 
\hhline{>{\arrayrulecolor{DarkBackground}}-}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{8.4cm}{x{3.2 cm} x{4.8 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{8.4cm}}{\bf\textcolor{white}{Clinical Presentation of Alcohol Withdrawal}}  \tn
% Row 0
\SetRowColor{LightBackground}
6 to 12 hours & Minor Withdrawal \tn 
% Row Count 1 (+ 1)
% Row 1
\SetRowColor{white}
12 to 24 hours & Alcohol Hallucinosis \tn 
% Row Count 2 (+ 1)
% Row 2
\SetRowColor{LightBackground}
24 to 48 hours & Withdrawal Seizures \tn 
% Row Count 3 (+ 1)
% Row 3
\SetRowColor{white}
72 to 96 hours & Delirium Tremens (DT) \tn 
% Row Count 4 (+ 1)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{8.4cm}}{• {\emph{Onset is measured based on the time of the patient's last drink}} \newline • {\emph{Could be sooner in more severe cases}}}  \tn 
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{8.4cm}{x{2.8 cm} x{5.2 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{8.4cm}}{\bf\textcolor{white}{Alcohol Withdrawal Presentations Defined}}  \tn
% Row 0
\SetRowColor{LightBackground}
Minor Withdrawal & Peaks at 24 to 36 hours \tn 
% Row Count 2 (+ 2)
% Row 1
\SetRowColor{white}
 & May last up to 5 days \tn 
% Row Count 3 (+ 1)
% Row 2
\SetRowColor{LightBackground}
 & Presence of 2 to 3 symptoms of withdrawal \tn 
% Row Count 5 (+ 2)
% Row 3
\SetRowColor{white}
 & Tremors, anxiety, headache, diaphoresis, palpitations, nausea \tn 
% Row Count 8 (+ 3)
% Row 4
\SetRowColor{LightBackground}
Severe Withdrawal & Presence of ≥ 6 symptoms \tn 
% Row Count 10 (+ 2)
% Row 5
\SetRowColor{white}
 & Alcoholic hallucinosis (visual is most common; auditory or tactile); generally resolves within 48 hours \tn 
% Row Count 14 (+ 4)
% Row 6
\SetRowColor{LightBackground}
 & Seizures (generalized, tonic-clonic; can happen within hours of last drink) \tn 
% Row Count 17 (+ 3)
% Row 7
\SetRowColor{white}
Delirium Tremens (DTs) & Delirium, Disorientation, agitation, mydriasis, tachycardia, HTN, Temp \textgreater{} 104F, diaphoresis \tn 
% Row Count 21 (+ 4)
% Row 8
\SetRowColor{LightBackground}
 & Onset: 2 to 5 days after last drink \tn 
% Row Count 23 (+ 2)
% Row 9
\SetRowColor{white}
 & Prevalence: 3 to 5\% of pt's with untreated alcohol withdrawal \tn 
% Row Count 26 (+ 3)
% Row 10
\SetRowColor{LightBackground}
 & Mortality rate: 5 to 15\% \tn 
% Row Count 27 (+ 1)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{8.4cm}}{Risk Factors of Withdrawal \newline • Environmental: increased frequency of quantity of consumption, prior withdrawals, concomitant sedative, hypnotic, or anxiolytic drugs \newline • Genetic: family history of withdrawal}  \tn 
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\end{tabularx}
\par\addvspace{1.3em}


% That's all folks
\end{multicols*}

\end{document}