stubstance abuse assessment

Question 1

alcohol use and abuse

Answer 1

• over half of people 12+ drink
• 1/5th = binge drinkers
• alcohol = 40% death
• 41k traffic accidents related to alcohol
• 4+ drinks per day is associated with increased death
• hypertension is a common side effect

Question 2

illicit drug use

Answer 2

• 8% americans 12+

- marijuana, cocaine, heroin, hallucinagens, inhalents, prescritpion

Question 3

standard drink

Answer 3

• 1 12oz 5% beer
• 8-9oz malt liqior
• 5 oz wine
• 1.5 oz spirits
• 3oz martini = 2 standard dinks

Question 4

categories of alcohol drinking

Answer 4

• moderate: men < 2, women < 1

* at risk: men > 14 a week or > 4 occasion, women > 7 drinks a week, > 3 drinks occasion

Question 5

substance abuse

Answer 5

one or more of the following in a year:

1. substance use interferes with work, relationships
2. reoccurance use in driving
3. arrests
4. continues use despite social problems

Question 6

AUDIT test

Answer 6

complete pattern of person’s drinking, current drinking, used in ED
AUDIT C is shorter and helpful for screening heavy drinking

Question 7

CAGE

Answer 7

cutdown, annoyed, guilty, eye opener

- busy primary offices

Question 8

TWEAK

Answer 8

screening for pregnant women

Question 9

clinical signs of substance use disorders

Answer 9

• alcohol: unsteady gait, destated, dulled
• sedatives: unsteady gait, talkativeness, slurred speech, inattention, sexual aggressiveness
• nicotine: alert, increased heart rate and systolic BP, loss of appetite, head rush, dizziness

Question 10

objective data associated with substance abuse

Answer 10

• GGST levels 4+ drinks
• AST months of chronic drinking
• MCV heaving drinking 4-8 wks
  breaht alcohol levels > .08
• clinical appearance