Ch 7 Substance Use

Question 1

Dependence is characterized by ______ and _______

Answer 1

Tolerance (need increasing amt for same effect)

Withdrawal (physical symptoms when substance is withdrawn)

Question 2

What are the 5 A’s of integrating knowledge of substance use into health assessments?

Answer 2

1. Acquire knowledge (assumptions, attitudes, values, beliefs)
2. Anticipate harm (from my practice, reaction, judgement; legal/social/economic)
3. Analyze impact of policies (organization and societal level)
4. Avoid social judgment
5. Approach all pts with respect

Question 3

Canada’s Low Risk Drinking Guidelines

Women: ____ drinks/week, no more than __ most days
Men: ____ drinks/week, no more than ___ most days

Answer 3

Women: 10 drinks/week, no more than 2 most days
Men: 15 drinks/week, no more than 3 most days

Question 4

Canada’s Low Risk Drinking Guidelines

Special occasions:
Women: less than ____ drinks
Men: less than ____ drinks

Answer 4

Women: 3
Men: 4

Question 5

Canada’s Low Risk Drinking Guidelines

Youth:
Teens should drink
-under \_\_\_\_\_\_
- no more than  \_\_\_\_ drinks at a time
- no more than \_\_\_\_\_times per week

Answer 5

Drink under parental supervision
<1-2 drinks at a time
no more than 1-2x/week

Question 6

Canada’s Low Risk Drinking Guidelines

Limits
-No more than ___ drinks per ____ hours

Answer 6

no more than 2 drinks in any 3 hours

Question 7

Canada’s Low Risk Drinking Guidelines

1 drink =
____ oz beer/cider/cooler
____ oz wine
____ oz spirits

Answer 7

12 oz beer/cider/cooler (5% ETOH)
5 oz wine (12% ETOH)
1.5 oz distilled alcohol (40% ETOH)

Question 8

TWEAK

• stands for ______
• scored out of ____
• score greater/equal to ____ = likely drinking problem

Answer 8

2 points: Tolerance: how many drinks (>/= 3)
2 points: Worry
1 point: Eye opener
1 point: Amnesia
1 point: K(c)ut down

Scored out of 7
Score >/= to 2 is likely drinking problem

Question 9

CAGE
tests for _____ and _______

Stands for_______

Answer 9

• tests for lifetime alcohol use and dependence
• does not differentiate past/active drinking

Cut down
Annoyed
Guilty
Eye opener

Question 10

ETOH withdrawal

-happens within ______ hours of abrupt cessation/decrease intake

Answer 10

6 to 12

Question 11

Stage 1: minor ETOH withdrawal:
Time: ___ hours

Symptoms:

Answer 11

within 6-12 hours

Tremors, diaphoresis, nausea/vomiting, HTN, tachycardia, hyperthermia, tachypnea

Question 12

Stage 2: alcoholic hallucinosis
Time: ___ hours

Symptoms:

Answer 12

12-24 hours

hallucinations: visual (zooscopies), auditory, tactile (paresthesia)

Question 13

Stage 3: alcohol withdrawal seizures
Time: ___ hours

Symptoms:

Answer 13

24-48 hours

generalized tonic/clonic (short or no postictal periods)

Question 14

Stage 4: delirium tremens
Time: ___ hours

Symptoms:

Answer 14

48-72 hours

delirium, psychosis, hallucinations, hyperthermia, malignant hypertension, seizures, coma