ETOH W/D

Question 1

CIWA

Answer 1

Used to assess alcohol withdrawal used to determine when to administer medications for ETOH wd and detoxification

Question 2

What score would warrant starting treatment on CIWA

Answer 2

8 or higher for symptoms (PRNs)

Question 3

What score would warrant scheduled medication intervention on CIWA

Answer 3

15 or higher (diazepam or ativan)

Question 4

If client has a compromised liver what medication would you choose for w/d?

Answer 4

Ativan because it has shorter half life

Question 5

AUDIT Alcohol use disorders identification test

Answer 5

10-item screening tool developed by the WHO to assess alcohol consumption drinking behaviors and alcohol-related problems

Question 6

What does a score of 8 or more indicative of from the AUDIT

Answer 6

hazardous or harmful alcohol use

Question 7

What three medications are approved by the FDA to treat AUD (3)

Answer 7

Acamprosate (campral)
Disulfiram (antabuse)
Naltroxene (vivitrol)- can also treat opioid use d/o

Question 8

What two medications can reduce alcohol consumption and increase abstinence rates

Answer 8

Acamprosate & Naltrexone

Question 9

Drug Abuse Screening Test (DAST-10)

Answer 9

is a 10-item brief screening tool that can be administered by a clinician or self-administered
assess drug use, not including alcohol or tobacco use, in the past 12 months

Question 10

Antabuse (Disulfiram) pg. 304 last paragraph

Question 11

Aversion therapy for AUD: (2)

Answer 11

Disulfiram is a medication primarily used to treat chronic alcoholism
FDA APPROVED FOR AUD

works by inhibiting the enzyme aldehyde dehydrogenase which is involved in the metabolism of alcohol

Question 12

What happens when someone on Disulfiram consumes alcohol (5)

Answer 12

leads to a buildup of acetaldehyde in the blood, resulting in unpleasant symptoms such as nausea, vomiting, headache, flushing, and increased HR

aversion effects is used to discourage alcohol consumption

Question 13

What client education needs to happen when prescribing Disulfiram?

Answer 13

refrain from using anything that contains alcohol (vinegar, aftershave lotion, perfumes, mouthwash, cough medication) while taking disulfiram and up to 2 weeks after discontinuing disulfiram

Question 14

Disulfiram can elevate?

Answer 14

liver function tests monitoring is necessary

Question 15

S/S of Alcohol w/d (10)

Answer 15

N&V
Tremors
paroxysmal sweats
tactile disturbances
visual disturbances
headaches
anxiety
agitation
altered sensorium

Question 16

CAGE-AID p297 (4)

Answer 16

Have you ever felt like you should cut down on drinking and drug use?
Have you been annoyed about being criticized for drinking or drug use?
Guilty about your drug or drinking use?
Have you had an eye-opener in the morning?

Question 17

How to score CAGE ?

Answer 17

0 for no
1 for yes
scoring of 2 or more do a more comprehensive assessment and coping skills