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Psychiatry > Alcohol Misuse > Flashcards

Alcohol Misuse Flashcards

1
Q

What is a quick screening tool used to detect potential alcohol problems

A

CAGE

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2
Q

Describe what CAGE stands for

A

C- cut down
A- annoyed
G-guilty
E-eye opener

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3
Q

What is a more extensive tool that can be used to identify hazardous drinking and potential dependence

A

AUDIT

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4
Q

What tool is used to assess dependence

A

SADQ

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5
Q

What do you do if someone is hazardously drinking?

A

brief intervention

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6
Q

What do you do if someone is harmfully drinking according to AUDIT

A

brief intervention –>motivational enhancement (readiness for change) –> consider prescribing options

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7
Q

What do you do if according to the AUDIT someone is potentially alcohol dependent

A

comprehensive assessment

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8
Q

What does the comprehensive assessment involve

A 
consumption
SADQ
APQ- alcohol related problems
comorbidity
other substance use
MMSE
readiness for change questionaire
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9
Q

What do you do if someone has a mild dependence ie SADQ score less than 15

A

consider prescribing options and reassess with AUDIT etc

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10
Q

What do you do if someone has moderate dependence ie SADQ score 15-30

A

Medicically assisted withdrawal either in the community or as an inpatient

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11
Q

What do you do is someone has severe depenace ie SADQ score more than 30

A

inpatient medically assisted withdrawal

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12
Q

What medication is used to aid withdrawal

A

chlordiazepoxide

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13
Q

When is inpatient withdrawal indicated

A 
severe dependence (SADQ more than 30)
moderate dependence plus comorbidities
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14
Q

What score is used to assess withdrawal severity

A

CIWA-Ar

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15
Q

When would diazepam be given during a medically assisted withdrawal

A

if their CIWA-Ar score is more than 8

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16
Q

What causes wernickes encephalopathy

A

thiamine deficiency (B1)

17
Q

What is given in overt or high risk of wernickes

A

Pabrinex and then once stable give thiamine (overt wernickes give thiamine after 7 days, high risk wernickes give thiamine after 5 days)

18
Q

What is used to prevent wernickes in alcohol dependent patients

A

thiamine

19
Q

Name prescribing options that can be used in alcohol dependence

A

acamprosate
naltrexone
nalmefene
disufiram (antabuse)

20
Q

Acamprosate

A

decreases glutaminergic activity to reduced cravings

only to be used when abstinent

21
Q

Naltrexone and nalmefene

A

Opioids receptor antagonists - make drinking less pleasurable - reduce consumption and reduce chance of relapse

22
Q

Anatabuse (disulpharim)

A

Make you feel terrible if you drink - inhibits acetaldehyde dehydrogenase - maintain abstinence

Psychiatry (18 decks)

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