audit scoring system Flashcards
what is audit?
scoring system used for drinkers
score of 0-7, what needs to be done?
reinforce current drinking patterns
8-14, what is this considered? what action should be taken?
hazardous. brief intervention
15-19. considered? what 3 things should be done?
harmful. brief intervention. motivational enhancement therapy sessions. consoder prescribing options
what score do you have to be above to be considered to have a possible dependance?
20
a binge is considered for men? for women?
over 8 units in one go, over 6 units in one go
what should be carried out in a patient with AUDIT score of 20 plus?
compregensive assessment
what score is used to measure dependance?
SADQ
mild dependance, SADQ score of?
less than 15
moderate dependancy - SADQ?
15-30
a SADQ score of 30 and above would indicate?
severe dependancy
what happens to GABA and glutamate when you drink?
alcohol works on gaba receptors, just like benzos
in alcohol withdrawals when do you have seizures?
0-48 hours
when does DT usually occur?
48-72 hours
symtpoms of DT?
coarse tremor, confusion, delusion, hallucination
can get auditory, tactile and visual hallucinations when quitting alcohol
y
medically assisted withdrawal- what drug is given?
chlodiazepoxide
how many days is this given over?
8
when do you stop giving the drug (in terms of findings to do with alcohol)
stop day 2 if they admit to drinking or you breathlise them and find they have been drinking
CIWA Ar score over ____? alan thomson and girl from taxi dan. start prophylactic medication. what is the medication?
- diazepam. cam diaz, dan , taxi
moderate dependance, what co morbidities would mean patient stays in as in patient?
epilepsy, seizures, dt, bzd dependance, LD, homeless, age >65
staggering gait, opthalmoplegia, confusional state?
wernickes
short term memory confabulation, clear consciousness?
korsakoffs
what is wernickes-korsikoffs caused by?
low thiamine(vit B1)
what percentage of patients get peripheral neuropathy?
70%
cerebellar degeneration can occur
yes
in high risk or overt WK, what drug is patient started on?
pabrinex
low risk and end of high risk treatment?
thiamine
action of acamprosate?
reduces cravings
naltrexone? Opiod receptor antagonist
reduces risk of lapse becoming relapse
what drug reduces alcohol consumption? (nam)
nalmefene
action of disulfiram?
induces unpleasant reaction after drinking alcohol
what is given to prevent wk?
b1/thiamine
when do alcoholics have hallucinations?
5-6 days after they stop drinking
what is the most abused drug in the uk?
diazepam
what opiate replacements are available?
methadone, buprenorphine, diamorpine
what kind of drug is buprenorphine?
opiod parital agonist (bap with bite)
what is the drug given in amphetamine/heroin overdose?
naloxone (need a nalo)
paracetamol overdose?
n acetyl cysteine
