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1. Psychiatry > Alcohol missuse > Flashcards

Alcohol missuse Flashcards

1
Q

What’re the guidlines for males and females?

A

14 units a week

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2
Q

What is hazardous drinking for women?

A

> 14 but <35 units

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3
Q

What is hazardous drinking for men?

A

> 14 but <50 units

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4
Q

What is hazardous drinking?

A

pattern of alcohol consumption that has harmful consequences

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5
Q

What is harmful drinking for women?

A

> 35 units

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6
Q

What is harmful drinking for men?

A

> 50 units

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7
Q

What is harmful drinking?

A

pattern of consumption that may cause mental or physical damage

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8
Q

What is the criteria for Alcohol Misuse Disorder?

A

2 or more of: (occuring within 12 months)
alcohol taken in larger amounts than intended
persistant desire but unsuccessful to cut down on alcohol use
lots of time spent to obtain alcohol
craving or strong desire to use alcohol
alcohol craving distrupting work, home or school
social, occupational or recreational activities reduced due to alcohol
alcohol will be used despite the knowledge that it is dangerous
tolerance
withdrawal

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9
Q

What is a mild Alcohol Misuse Disorder?

A

2-3 symptoms

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10
Q

What is a moderate Alcohol Misuse Disorder?

A

4-5 symptoms

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11
Q

What is a severe Alcohol Misuse Disorder?

A

6 or more symptoms

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12
Q

What is the first screening tool to use for Alcohol Misuse Disorders?

A

FAST

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13
Q

What is the second screening tool to use for Alcohol Misuse Disorders?

A

AUDIT

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14
Q

How do alcohol withdrawals present?

A 
tremor
sweating
nausea 
retching
insomnia, nightmares, agitation and anxiety
increased HR, BP, RR
hallucinations
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15
Q

When do withdrawal seizures happen?

A

0-48 hours

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16
Q

When does delerium tremens start to happen?

A

48-72 hours

17
Q

What non pharmacological measures can help relapse prevention?

A

CBT
motivational enhancement therapy
12 step facilitation therapy

18
Q

What pharmacological treatments should be given AFTER a sucessful withdrawal?

A

Acamprosate
Naltrexone
Disulfram

19
Q

What causes an alcohol withdrawal?

A

decrease in GABA

20
Q

What is the action of Acamprosate?

A

action on GABA and Glutamate transmission - connects the neurotransmission imbalane and reduces cravings

21
Q

What is the action of Naltrexone?

A

blocks opioid receptors, reduces rewarding effect mediated by endorphin system

22
Q

What is the action of Disulfiram?

A

causes increased dopamine transmission to decrease cravings

alcohol and disulfiram = unpleasant reaction

1. Psychiatry (23 decks)

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