Alcoholism Flashcards
1
Q
Screening for alcoholism
A
CAGE Ever thought you should Cut down? Annoyed by criticism of drinking? Guilty about drinking? Eye-opener in the morning?
2
Q
Alcohol withdrawal signs
A
Starts 10-72hrs after last drink
Tachycardia, hypotensive
Confusion, fits, hallucinations
3
Q
Alcohol withdrawal management
A
Chlordiazepoxide 10-50mg/6h for first 3d, additional as needed
Lorazepam shorter acting if needed, in more serious liver failure so blood levels can be monitored
Advice on stopping
4
Q
Alcoholism relapse treatment
A
Acamprosate for cravings, contraindicated in pregnancy, liver failure, renal failure
Disulfiram as aversion therapy
5
Q
Managing alcoholic hepatitis
A
IV vitamin K 10mg/d
IV Thiamine 100mg/d
Optimise nutrition
Treat hepatitis complications e.g. ascites SBP
Pred 40mg/d for 4 wks if severe
