audit scoring system

Question 1

what is audit?

Answer 1

scoring system used for drinkers

Question 2

score of 0-7, what needs to be done?

Answer 2

reinforce current drinking patterns

Question 3

8-14, what is this considered? what action should be taken?

Answer 3

hazardous. brief intervention

Question 4

15-19. considered? what 3 things should be done?

Answer 4

harmful. brief intervention. motivational enhancement therapy sessions. consoder prescribing options

Question 5

what score do you have to be above to be considered to have a possible dependance?

Answer 5

20

Question 6

a binge is considered for men? for women?

Answer 6

over 8 units in one go, over 6 units in one go

Question 7

what should be carried out in a patient with AUDIT score of 20 plus?

Answer 7

compregensive assessment

Question 8

what score is used to measure dependance?

Answer 8

SADQ

Question 9

mild dependance, SADQ score of?

Answer 9

less than 15

Question 10

moderate dependancy - SADQ?

Answer 10

15-30

Question 11

a SADQ score of 30 and above would indicate?

Answer 11

severe dependancy

Question 12

what happens to GABA and glutamate when you drink?

Answer 12

alcohol works on gaba receptors, just like benzos

Question 13

in alcohol withdrawals when do you have seizures?

Answer 13

0-48 hours

Question 14

when does DT usually occur?

Answer 14

48-72 hours

Question 15

symtpoms of DT?

Answer 15

coarse tremor, confusion, delusion, hallucination

Question 16

can get auditory, tactile and visual hallucinations when quitting alcohol

Answer 16

y

Question 17

medically assisted withdrawal- what drug is given?

Answer 17

chlodiazepoxide

Question 18

how many days is this given over?

Answer 18

8

Question 19

when do you stop giving the drug (in terms of findings to do with alcohol)

Answer 19

stop day 2 if they admit to drinking or you breathlise them and find they have been drinking

Question 20

CIWA Ar score over ____? alan thomson and girl from taxi dan. start prophylactic medication. what is the medication?

Answer 20

8. diazepam. cam diaz, dan , taxi

Question 21

moderate dependance, what co morbidities would mean patient stays in as in patient?

Answer 21

epilepsy, seizures, dt, bzd dependance, LD, homeless, age >65

Question 22

staggering gait, opthalmoplegia, confusional state?

Answer 22

wernickes

Question 23

short term memory confabulation, clear consciousness?

Answer 23

korsakoffs

Question 24

what is wernickes-korsikoffs caused by?

Answer 24

low thiamine(vit B1)

Question 25

what percentage of patients get peripheral neuropathy?

Answer 25

70%

Question 26

cerebellar degeneration can occur

Answer 26

yes

Question 27

in high risk or overt WK, what drug is patient started on?

Answer 27

pabrinex

Question 28

low risk and end of high risk treatment?

Answer 28

thiamine

Question 29

action of acamprosate?

Answer 29

reduces cravings

Question 30

naltrexone? Opiod receptor antagonist

Answer 30

reduces risk of lapse becoming relapse

Question 31

what drug reduces alcohol consumption? (nam)

Answer 31

nalmefene

Question 32

action of disulfiram?

Answer 32

induces unpleasant reaction after drinking alcohol

Question 33

what is given to prevent wk?

Answer 33

b1/thiamine

Question 34

when do alcoholics have hallucinations?

Answer 34

5-6 days after they stop drinking

Question 35

what is the most abused drug in the uk?

Answer 35

diazepam

Question 36

what opiate replacements are available?

Answer 36

methadone, buprenorphine, diamorpine

Question 37

what kind of drug is buprenorphine?

Answer 37

opiod parital agonist (bap with bite)

Question 38

what is the drug given in amphetamine/heroin overdose?

Answer 38

naloxone (need a nalo)

Question 39

paracetamol overdose?

Answer 39

n acetyl cysteine