Alcohol Use Disorder Flashcards
memorize alcohol use disorder symptoms as well as treatment
What is alcohol use disorder? (AUD)
AUD is a substance use disorder characterized by repeated use of alcohol despite significant problems associated with its use
What are risk factors for AUD?
Cultural attitudes towards drinking, availability of alcohol, peer pressure are environmental risk factors for alcohol use disorder
What criteria needs to be met to diagnose AUD?
A problematic pattern of alcohol use, must meet 2 of criteria A within a 12-month period
What is the mnemonic for AUD?
TWO PACK
T in TWO PACK stands for…
Tolerance
W in TWO PACK stands for…
Withdrawal
O in TWO PACK stands for…
Occupational, social, recreational activities reduced
P in TWO PACK stands for…
Persistent desire or unsuccessful attempt to reduce consumption
A in TWO PACK stands for…
Amount of use is excessive
C in TWO PACK stands for…
Continues substance use despite having persistent or recurrent physical or psychological problems
K in TWO PACK stands for…
Keeps spending a lot of time in search, use or recovery from alcohol
How much criteria for AUD to be considered severe?
Over five
How much criteria for AUD to be considered moderate?
Four to five
How much criteria for AUD to be considered mild?
Two to three
Risk factors for substance abuse
Genetics, family dynamics involving anger or lack of closeness, co-occurring psychiatric disorders
What are treatments for alcohol use disorder?
Rehabilitation, motivation interviewing, cognitive behavioral therapy, 12-step therapies, mindfulness-based therapies
What are some assessment tools for substance use disorders?
Clinical Institute Withdrawal Assessment (CIWA), MAST (Michigan Alcohol Screening Test) and Drug Abuse Screening Test (DAST)
What is Alcohol Withdrawal?
Syndrome that occurs within several hours to a few days of stopping heavy and prolonged alcohol use. Includes hyperactivity, anxiety and gastrointestinal symptoms
What needs to be met for alcohol withdrawal to be diagnosed?
Cessation of or reduction in alcohol use that has been heavy or prolonged, as well as 2 symptoms of Criteria B within several hours to a few days after last drink
What is Stage 1 of alcohol withdrawal? (6-8 hrs)
Mild tremors, anxiety, nausea
What is Stage 2 of alcohol withdrawal? (12-24 hrs)
Tremors, agitation, insomnia, some hallucinations
What is Stage 3 of alcohol withdrawal? (12-48 hrs)
Severing of symptoms listed in Stage 2, but possibility of seizures
What is Stage 4 of alcohol withdrawal? (2-5 days)
Unstable vitals, confusion, agitation, fever, tachycardia, hypertension, sweating
What is early remission?
Early remission is no symptoms (excluding cravings) for at least three months but less than a year
What is sustained remission?
No criteria are met for a period of 12 months or longer
What are pharmacological treatments for AUD?
Gabapentin, Naltrexone, Acamprosate, Topiramate (GNAT)
What are pharmacological treatments for withdrawal? (uncomplicated)
Diazepam and lorazepam
What are pharmacological treatments for withdrawal?(complicated)
Load with diazepam, lorazepam, administer CIWA
