Alcohol Flashcards
Eval of which lab test is most specific for chronic heavy alcohol consumption?
% CDT (% carbohydrate deficient transferrin)
Pt with addiction and social anxiety disorder discusses their painful experience of anxiety during their first AA meeting. What replay is consistent with 12 step facilitation therapy?
You did the most important thing, you went to the meeting. It will get easier.
What does CAGE stand for?
Cut down, guilty, annoyed, eye opener
50 yo with alcohol dependence at ED for confusion, oculomotor disturbances, ataxia, and dysarthria. Give which med first?
Thiamine
Alcoholic hallucinosis vs DT. Alcoholic hallucinosis includes?
A clear sensorium
Alcoholic on disulfiram reports EtOH cravings. What drug will likely decrease these?
Naltrexone
What is a SE common to both naltrexone and disulfiram?
Elevated liver enzymes
What is the fx of A- anon?
Helps relatives cope with alcoholics drinking
Evidence that alcoholism is hereditary?
Adopted siblings
Lab parameters often elevated in pts with alcohol dependence?
MCV
The best way to ask an adolescent about alcohol abuse?
Have you ever ridden in a car driven by someone including yourself, who was high or had been using alcohol or drugs?
44 yo pt with EtOH dependence and cirrhosis inquiring about med to stop drinking. Pt is disappointed in drinking behavior but otherwise shows little evidence of a mood disorder. Which meds has most favorable risk/benefit profile for alcohol cessation?
Acamprosate
OH withdrawal symptoms peak in how long?
48 hours
Which med reduces acetaldehyde dehydrogenase function?
Disulfiram
Molecular mechanism of alcohol causes intoxication?
NMDA antagonism and gaba agonism
