Alcohol Use Disorder Flashcards
which of the following is true about binge drinking
1. binge drinking can have the same effect as having the same amount over a longer period of time
2. it is linked with higher rates of behaviours that put people’s health at risk
3. is never safe
4. all of the above
4
Among healthy individuals, there is a continuum of risk for alcohol related harms where the risk is
Negligible to low for individuals who consume __ standard drinks or less / wk
Mod for ____ standard drinks/wk
Increasingly high for ____ standard drinks/ wk
2
3-6
>6
On any occasion, any level of consumption has risks, and with more than ____ standard drinks, most individuals will have an increased risk of______________
2
injury or other problems
which of the following statistics is true
1. Disproportionately more injuries, violence, and deaths result from men’s drinking
2. Above low levels of alcohol consumption, the health risks increase more steeply for women than for men
3. Having <2 drinks per week is safe in breastfeeding, but is strongly recommended against
4. any level of alcohol consumption is associated with some risk
3
how often should you screen for alcohol use disorder
annually and with major life events
name 2 tools used to screen for AUD
CAGE
AUDIT-C
what are 2 pros of CAGE
easy Y/N questions, doesn’t require quantification of alcohol (tends to underreport)
what is a con for CAGE
less sensitive than AUDIT-C for detecting high risk drinking patterns
what is a con for AUDIT-C
may be less sensitive for specific groups like women, older adults, other ethnicities, etc
T or F: screening alone is enough to improve AUD outcomes
F
A variety of approaches exist for brief interventions- what is consistent is that they include a ________________
brief variant of motivational interviewing
what is the 5 A model for delivering alcohol use brief interventiosn
ask, advise, assess, assist, arrange
what is included in the “assess” piece of alcohol use brief interventions
is the pt willing to make a change rn
what is included in the “advise” piece of alcohol use brief interventions
advising pts in a clear, strong, and personalized manner that they may be at risk of alcohol related harms
define alcohol use disorder + how long the time period must be
a problematic pattern of alcohol use leading to clinically significant impairment or distress, as manifested by at least 2 of the designated criteria, occurring within a 12mth period
define the following
clinically significant problematic behavioural or psychological changes that develop during, or shortly after alcohol ingestion
alcohol intoxication
T or F: a person may have BAD of >40 but still be functional if they have been a heavy user
T
T or F: a patient may undergo alcohol withdrawal even if they still have alcohol in their blood
T- is a relative change
what would we expect to see at 5mg/dL
legally impaired
what would we expect to see at 10mg/dL
significantly impaired
what would we expect to see at 20mg/dL
impaired ability to walk
what would we expect to see at 30mg/dL
loss of consciousness
what would we expect to see at 40mg/dL
respiratory arrest, coma, death
define alcohol withdrawal
cessation of (or reduction in) alcohol use that has been heavy and prolonged (hangover = mild sx of alcohol withdrawal)
