tommyk
04-08-2006, 10:24 PM
Hy 2106
A 25-year-old woman named Rita Hayworth presents to the emergency department complaining that she is having auditory hallucinations and tremors, along with associated nausea and vomiting. She feels very anxious. On mini-mental status examination, she scores 22 of 30, and she appears to be obtunded. From which of the following substances/circumstances is this patient most likely withdrawing?
1-Alprazolam
2-Caffeine
3-Cocaine
4-Heroin
5-Nicotine
6-Phenobarbitol
7-Marijuana
8-Reruns of “South Park” on MTV
a) XANAX!!!! This patient has the symptoms of withdrawal from benzodiazepines, such as alprazolam (Xanax). Symptoms include insomnia, tremor, gastrointestinal distress, hallucinosis, and anxiety. Withdrawal from benzodiazepines can also be accompanied by generalized seizures.
Caffeine withdrawal does not have associated obtundation and usually manifests as mild psychomotor agitation.
Cocaine withdrawal is characterized by dysphoria, psychomotor agitation or retardation, and marked fatigue.
Heroin withdrawal is characterized by generalized pain, nausea, vomiting, diarrhea, and piloerection (goose flesh).
Nicotine withdrawal is characterized by intense craving activity and mild to moderate psychomotor agitation
“South Park” is a favorite and also a NON-favorite of mine. Esp. when they made fun of Mother Mary, I personally took major offense.
Love you all, Tommy
A 25-year-old woman named Rita Hayworth presents to the emergency department complaining that she is having auditory hallucinations and tremors, along with associated nausea and vomiting. She feels very anxious. On mini-mental status examination, she scores 22 of 30, and she appears to be obtunded. From which of the following substances/circumstances is this patient most likely withdrawing?
1-Alprazolam
2-Caffeine
3-Cocaine
4-Heroin
5-Nicotine
6-Phenobarbitol
7-Marijuana
8-Reruns of “South Park” on MTV
a) XANAX!!!! This patient has the symptoms of withdrawal from benzodiazepines, such as alprazolam (Xanax). Symptoms include insomnia, tremor, gastrointestinal distress, hallucinosis, and anxiety. Withdrawal from benzodiazepines can also be accompanied by generalized seizures.
Caffeine withdrawal does not have associated obtundation and usually manifests as mild psychomotor agitation.
Cocaine withdrawal is characterized by dysphoria, psychomotor agitation or retardation, and marked fatigue.
Heroin withdrawal is characterized by generalized pain, nausea, vomiting, diarrhea, and piloerection (goose flesh).
Nicotine withdrawal is characterized by intense craving activity and mild to moderate psychomotor agitation
“South Park” is a favorite and also a NON-favorite of mine. Esp. when they made fun of Mother Mary, I personally took major offense.
Love you all, Tommy