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Cheatography

Acute Intoxication and Withdrawal Medications Cheat Sheet (DRAFT) by

Health and Illness 3

This is a draft cheat sheet. It is a work in progress and is not finished yet.

Alcohol (EtOH) Withdrawal

Folic acid (water soluble)
prevent anemia
Thiamine (water soluble)
prevent Wernicke's (rever­sible)
Magesium sulfate
also given for anticu­nvu­lsant
ICU Sedation ONLY
Dexmed­eto­midine (Precedex)
decrease agitation
does not cause respir­atory depres­sion, bradyc­ardia and hypote­nsion
Hypogl­ycemia
glucose IV
Stabilize VS
-propa­nolol
 
-atenalol
 
-clonidine
decrease BP, decrease pain
Halluc­ina­tio­ns/­Psy­chosis
halope­ridol
Benzos
-lorazepam (Ativan)
 
-diazepam (Valium)
 
-chlor­dia­zep­oxide (Librum)
Antico­nvu­lsants
-pheno­bar­bital
no antidote
 
-gabap­entin
 
-carba­maz­epine (Tegretol)

Alcohol Mainte­nance Medication (DNA)

disulfiram
do not give during withdrawal
 
relapse prevention
 
alters metabolism of alcohol
naltrexone
suppress craving
acampr­coate
decreases abstinence symptoms
 
neuro protective
 

Opioid Withdrawal and Mainte­nance Medication

methadone
long-a­cting opiate
 
can still abuse
 
increased risk of dependence
bupren­orphine
partial opioid agonist
 
higher doses with less SE
suboxone
bupren­orphine + naloxone
clonidine
anti HTN for VS managment
antidote
naloxone

Stimulant Toxicity Medication

no antidote
gastric lavage
 
activated charcoal
Neuro
Agitat­ion­/Se­izures
IV diazepam
 
IV lorazepam
Halluc­ina­tio­ns/­Psy­chosis
halope­ridol
Cardio
Ventri­cular Dysrhy­thmias
lidocaine
 
bretylium
 
procan­iamide
Reduce MI risk
asprin
HTN/Angina
sodium nitrop­russide
 
phento­lamine