Alcohol and The Role of Pharmacists Flashcards

1
Q

How many g of alcohol in 1 standard drink?

A

10g of alcohol

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2
Q

How many standard drinks is the max for any day for men and women?

A

No more than 2 standard drinks on any day

  • no more than 4 standard drinks on a single occasion
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3
Q

What activities involve risk or a degree of skill and therefore alcohol should not be drank before or during such activities?

A
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4
Q

What is the legal blood alcohol limit?

A

BAC upto 0.05 while driving, for full license holders

  • 0.05g of alcohol in 100mL of blood
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5
Q

What is the aims of alcohol think again (WA initiative)?

A
  • reduce the risk of alcohol related harm over a liftine
  • reduce the risk of injury on a single occasion of drinking
  • increase women’s intentions to abstain from alcohol during pregnancy, and when breastfeeding
  • allow parents and young people to make informed choices about delaying initiation to alcohol use
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6
Q

What to ask patients abut alcohol use?

A
  • Ask if they have thought about how alcohol affects their medical conditions or medications
  • Talk about people in general rather than the individual
  • Ask about sleeping patterns

> alcohol and drug helpline (s)

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7
Q

What are the short-term effects caused by alcohol consumption?

A
  • Depresses the central nervous system
  • Sleep problems
  • Stomach problems
  • Heart and circulation problems
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8
Q

What are the long-term effects caused by alcohol consumption?

A
  • Cancer
  • Liver problems
  • Dementia
  • Heart disease and stroke
  • Sexual problems
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9
Q

Why do hangovers happen?

A

Liver breaks down alcohol to acetaldehyde

  • build up casuses flushing, nausea and vomitting

Hangovers are a result of this, as well as

  • Dehydration
  • Nausea from gastric irritation
  • Electrolyte imbalance
  • Tiredness and hunger from reduce blood glucose
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10
Q

How does alcohol dependence exist in varying degrees?

A
  • May be associated with withdrawal symptoms when drinking stops
  • May have difficulty in limiting drinking on any one occasion
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11
Q

What issues are there for alcohol consumption in older people?

A
  • Higher BAC, with age, bodys total water content decreases
  • Body’s tolerance for alcohol decreases with age
  • Risk of falling increases with older age
  • Diriving risks may also be increased
  • Many older people also take medications that may interact with alcohol
  • People age at diffferent rates, older people who drink need to reassess their drinking regularly

> benefits in preventing heart disease with moderate use but these benefits can be gained in regular exervise, giving up smoking and healthy diet

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12
Q

What is the potential harm in drinking from 18-25 years?

A
  • Increased risk taking
  • Loss of inhibitions
  • Reduced decision making skills
  • Overdose related to tolerance
  • Increased risk of accidents
  • Violence
  • Unwanted sexual activity
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13
Q

Risk of alcohol under 18 years old?

A
  • Risk of alcohol-related problems in later life related to age drinking first started

> children under 15 years of age are at greatest risk of harm for drinking

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14
Q

What are effects on pregnant women drinking on unborn child?

A
  • EtOH enters blood stream of child
  • Increase risk to unborn child when drinking above guidelines
  • Heavy bouts of drinking maximises that risk
  • Lower levels of drinking at which alcohol may cause harm to the child are not yet known
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15
Q

Effects of alcohol in breastfeeding women?

A
  • Bloodstream passes into breast milk
  • Advised not to drink at all –> care is advised
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16
Q

Relation between alcohol and mental health problems?

A

Alcohol use may aggravate anxiety, depression and sleep disturbances –> suicidal thoughts

  • risk of dependence is increased in people with mental health problems

> may need to consider not drinking at all, if they find it difficult to keep their drinking within guideline levels or if symptoms persist

17
Q

Relationship between alcohol and sleep?

A

Alcohol disrupts sleep patterns

  • heavier use contributtes to OSA
  • insomnia is common when dependent drinkers become abstinent
  • sleep hygiene is important
18
Q

What medications are likely to interact with alcohol?

A
19
Q

What increases risk of traffic and other accidents when used together?

A

Cannabis and alcohol

20
Q

What are some symptoms of alcohol withdrawal and what is the time range for cessation when it occurs?

A
21
Q

What are pharmacotherapies for the management?

A
  • Antipsychotics for agitation
  • Antiepileptics for seizures
  • Analgesics
  • Antiemetics for nausea and vomiting

Long term treatment:

> naltrexone (revia)

> acamprosae (campral)

> disulfiram (antabuse)

> thiamine (vitamin B1)

22
Q

Role of pharmacists in alcohol education?

A
  • Advice on safer drinking
  • Considerable oppurtunities for community pharmacists to get involved with alcohol screening