Alcohol advice Flashcards

1
Q

Recommended alcohol units per week

A
  • 14 units
  • spread over a couple days with alcohol-free days in between
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2
Q

Examples of alcohol screening

A
  • CAGE (4 questions)
  • AUDIT (10 questions)
  • FAST (4 questions)
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3
Q

CAGE

A
  • have you ever felt you ought to CUT down on your drinking?
  • do you get ANNOYED at criticism of your drinking?
  • do you feel GUILTY about your drinking?
  • do you ever have an EARLY morning drink?

Yes, sometimes or often to 2 or more indicates an alcohol problem

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4
Q

FAST

A
  • how often have you had more than 6 (women) or 8 (men) units in one sitting?
  • how often have you failed to do what you were expected to because of your drinking?
  • how often have you been unable to remember what happened because of your drinking?
  • has a friend, relative or doctor told you that they are concerned about your drinking?
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5
Q

What is required in an ABI?

A
  • feedback
  • responsibility on patient
  • advice to change
  • menu of self-directed options
  • empathy
  • self-efficacy encourages patient
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6
Q

What oral risks are associated with heavy drinking?

A
  • oral cancer
  • malnutrition (ulceration)
  • caries
  • trauma
  • erosion
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7
Q

What systemic problems are associated with heavy drinking?

A
  • hypertension
  • stroke
  • liver disease
  • cancers
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8
Q

Disulfiram

A
  • Antabuse
  • inhibits alcohol dehydrogenase from converting alcohol to acetate
  • build up of acetaldehyde causes nausea and vomiting
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