Alcohol Dependency Flashcards
What does alcohol abuse cost the NHS
21 billion
How much does it cost the NHS
20 billion
What percentage of 16-25 suffer from dependency
How many people overdrink
4 percent
1/4
What are the risk factors for dependency
Anxiety Depression Social isolation/ relationship breakdown Genetics Life events adverse
What is alcohol converted into
Acetylaldehyde and then acetate
What is a common disorder seen with acetylaldehyde metabolism
Aldh2
Asian flushing syndrome
Symptoms include Flush on face Blurred vision Headache Tachycardia and hypotension Dyspnoea Anxiety Vertigo Nausea and vomiting
What time are symptoms of alcoholcodependency
Tachycardia Hypotension Confusion Hepatic fetor Tremors Signs of liver disease - spider naevi, gynaecomastica , jaundice hepatomegaly ascites
Wernikes korsakoff syndrome
What are the symptoms
Ataxia Confusion Opthamlgopegia Memory loss Peripheral neuropathy
Questions to ask
Cage. Cut down aggression or annoyed but confrontation of drinking. Guilty. Eye opener/ first thing in the morning.
Over 2 then dependency
What can you ask as part of sadq
Desire to drink Drinking out of control Increased tolerance Withdrawal symptoms Little interest in anything else Drinking despite knowing dangers
Investigations
Ask about use who what where why when Level of dependency Alcohol related problems and other drug abuse Readiness or believe to change PMH and physical health
Blood tests
Exclude anaemia and look st liver function and coagulation
Fasting. Glucose as chronic pancreatitis can lead to diabetes
Mcv raised and playlets low
Treatment
First Lin e
Support groups Counselling Rehab 1:1 therapy CBT
Most effective
Abstinence
MedicFions which can be given to support
Pentoxifyline ChlordaPoxide Pabrinex Benzodiazepines Beta blockers Disulfram Acamprosate Naltrexone
What is pabrinex
Vitamin b complex
