Chapter 6 Flashcards
Alcohol abuse
One or more events a year: Failure to fulfill major obligations, DUI’s (legal problems), continues used after social problems, and hazardous situations caused by the alcohol
Alcohol Use Disorder
2 or more events a year: tolerance, withdrawals, lots time spent of obtaining alcohol, continued use after expressed desire to stop
Binge Drinking
On one occasion: 5 + days in the past month.
Male: 15+ drinks a week
Female: 8+ drinks a week
What are 3 major screening tools for drinking dependence?
AUDIT
AUDIT-C
CAGE
Difference between AUDIT and AUDIT-C
AUDIT-C is a shorter form of AUDIT it is also helpful in units like ICU and acute care
What are 3 laboratory values a nurse should be concerned with when monitoring for alcohol use?
Gamma Glutamyl Transferase
Carbohydrate-deficient Transferrin (CDT)
Aspartate Aminotransferase
Gamma Glutamyl Transferase
Common biomarker of alcohol drinking
Nonalcoholic liver disease also can increase GGT in the absence alcohol
Carbohydrate-deficient Transferrin (CDT)
Used with GGT
Elevated after 50-80 g/day
Aspartate Aminotransferase
Enzyme found in high concentrations in the heart and liver
Chronic drinking increases AST
The phase of addiction characterized by tolerance, increasing time spent in substance-related activities, unsuccessful attempts to quit and continued us despite known harm is ____
Dependence
The unpleasant effect that occurs when use of a drug is stopped is called ___
Withdrawal
The need for increasingly larger doses of a substance to achieve the same effect that was initially experienced from using is called ___
Tolerance
Which health issue is NOT a result of prolonged heavy drinking?
Increase resistance to pneumonia and other infectious disease
How many drinks does a man consume in one sitting for it to be considered binge drinking?
5
What is the most commonly used lab test to ID chronic alcohol drinking?
GGT
