Alcohol Flashcards
1
Q
Diagnosing alcohol dependence.
A
3 or more of the following for >1month or repeatedly over 12 months:
- Cravings/compulsions to take
- Difficulty controlling use
- Primacy
- Increased tolerance
- Physiological withdrawal on reduction/cessation
2
Q
Symptoms of alcohol withdrawal
A
- tremor
- weakness
- nausea
- vomiting
- anxiety
- seizures
- confusion
- agitation
- death
3
Q
Which problems are caused by anthiamine deficiency?
A
- Wernicke’s Encephalopathy
- Korsakoff’s Psychosis
4
Q
Symptoms of Wernicke’s Encephalopathy
A
- confusion
- ataxia
- opthalmoplegia
- nystagmus
5
Q
Symptoms of Korsakoff’s Psychosis
A
- prominent impairment of recent and remote memory
- preservation of immediate recall
- no general cognitive impairment
- retrograde and anterograde memory
- impaired learning and disorientation
- may exhibit nystagmus and ataxia
6
Q
Alcohol dependence screening tools
A
-
CAGE (2 or more = likely alcohol problem)
- Have you tried to Cut down?
- Have you felt Annoyed by people criticising your drinking?
- Have you felt Guilty about drinking?
- Have you felt the need to have an Eye-opener?
- AUDIT (Alcohol Use Disorders Identification Test)
- FAST (4 questions)
7
Q
What medication is used to manage alcohol withdrawal?
A
Benzodiazepines, commonly Chlordiazepoxide
8
Q
Alcohol deterrent medication.
A
Disulfiram (Antabuse)
9
Q
Alcohol anti craving medication
A
- Acamprosate (Campral)
- Naltrexone
- Nalmefene
