alcohol misuse

Question 1

what is weekly units?

Answer 1

14 units

Question 2

how should weekly units be drank?

Answer 2

spread over week with several alcohol free days

Question 3

what score is used to measure alcohol dependancy?

Answer 3

AUDIT

Question 4

what is considered hazardous drinking

Answer 4

8-14 on AUDIT, drinking more than should but no health problems

Question 5

harmful drinking, audit score?

Answer 5

15-19 drinking resulted in physical or mental health complications

Question 6

haemotalogically, what would you see in alcohol misuse?

Answer 6

macrocyic anaemia

Question 7

cardiovascular complications from alcohol ?

Answer 7

hypertension, atrial fibrillation, stroke, dilated cardiomyopathy

Question 8

neurological problems from alcohol?

Answer 8

blackouts, peripheral nueropathy, ataxia, dementia, wernickes, korsikoffs

Question 9

what is wernickes? what is a result of?

Answer 9

lack of vitamin B1 (thiamine) in the body. it is a disorder that results in ataxia, ophthalmoplegia (nystagmus and conjugate gaze problems) and short term memory loss

Question 10

what is korsikoffs?

Answer 10

chronic memory impairment associated with thiamine deficiency

Question 11

what is memory loss like in korsikoffs?

Answer 11

confabulations and anterograde amnesia

Question 12

acute onset of degenerative inflammation of the brain due to thiamine deficiency?

Answer 12

wernickes

Question 13

wernickes characterised by?

Answer 13

DANO 
delirium 
ataxia 
nystagmus 
opthalmoplegia

Question 14

when does alcohol withdrawal start?

Answer 14

6-12 hours after last drink

Question 15

why does withdrawal develop?

Answer 15

imbalance in neurotransmitters in the brain. Increased GABA and decreased glutamate

Question 16

autonomic symptoms?

Answer 16

skaing, sweating, tachycardia, hypetension, pyrexia, nausea, vomiting

Question 17

what is delirium tremens?

Answer 17

severe, potentially fatal form of withdrawal seen in physical dependane

Question 18

symtptoms of DT?

Answer 18

delirium, ataxia, course tremor, h and d

Question 19

quick screening questions for alcohol?

Answer 19

cage questionaire 
cut down 
annoyed 
guilty 
eye opener

Question 20

questionnaire that provides a comprehensive assessment of type of alcohol misuse.

Answer 20

AUDIT

Question 21

abbreviated form of AUDIT?

Answer 21

FAST

Question 22

medically assisted withdrawal?

Answer 22

reducing doses of BZD

IV pabrinex 100mg TDS for 3 days

Question 23

what benzos can you use?

Answer 23

diazepam or librium

Question 24

what does pabrinex contain?

Answer 24

B12 and other vitamins and reduces likelihood of wernickes

Question 25

treatment of opiate misuse?

Answer 25

naloxone and resp support

Question 26

what type of drug is methadone?

Answer 26

opiod antagonist

Question 27

buprenorphine?

Answer 27

partial agonist

Question 28

alpha channel blockers?

Answer 28

clonidine/lofexidine