Alcohol dependance disorders

Question 1

What is Prochaska & DiClemente?

Answer 1

stages of change for alcohol disorders

3-4 cycles

Question 2

How are alcohol disorders screened?

Answer 2

FAST Screening test: first 4 questions
     more than 3 = hazardous drinking and move to:
Audit: last 6 questions
	8-15 = hazardous drinking
	20+ = dependence

Question 3

How are alcohol disorders treated?

Answer 3

Oral Thiamine for low risk

IM/IV Pabrinex for high risk

Question 4

What supportive measures can be taken with alcohol disorders?

Answer 4

Nutrition
Hydration
Anti-emetics
Anti-diarrhoeals

Question 5

When does an alcohol withdrawl take place after last drink?

Answer 5

4-12 hours

Question 6

When do withdrawl seizures take place after last drink?

Answer 6

6 – 48 hrs

Question 7

What can withdrawl seizures lead to?

Answer 7

Status Epilepticus

Question 8

What is Deliruim tremens?

Answer 8

severe confusion, tremors, seizures, sweating

Question 9

When does DT present after last drink?

Answer 9

3 - 10 days

Question 10

What treatment can be given for DT?

Answer 10

benzodiazepine + pabrinex

Question 11

When does Alcoholic Hallucinosis happen?

Answer 11

happens in clear consciousness, full recovery after 6 months of staying away from alcohol, if not it is a psychotic illness

Question 12

Is DT a medical emergency?

Answer 12

YES! can last a week to a month

Question 13

What is an Alcoholic Hallucinosis?

Answer 13

Acoustic hallucinations
Delusions
Mood disturbances
(occurs shortly after chronic drinking)

Question 14

What are the pharmacological measures for relapse prevention?

Answer 14

1st line: acamprosate and naltrexone

2nd line: disulfiram