Substance Abuse Flashcards
What contributes to physicians under diagnosing the alcoholic patient
- they have a job and family
- they come for minor physical problems
- the physician themselves drink heavily and don’t recognize it.
- they consider alcoholism as a weakness not a disease
- denial by the pt
Which screening questionnaire screens for sensitivity of alcholism
- MAST
2. CAGE
If a pt shows up and smells of alcohol we have look at communication, openness and accurate _____taking and listen to their story
history
Doing a physical examination tells you a lot such as _____ or atrial fibrillation, or fluctuating BP’s or tremors.
rosacia on the face
Lab tests look for what to raise suspicion?
comprehensive metabolic panel. If GGT is found that is the most specific acute finding. Also looking at MCB levels that looks at blood cells.
Which is a cholesterol test that raises suspicion.
HDL is good cholesterol that prevents heart attacks. Alcohol raises this. Elevated CA125 also raises suspicion.
Intervention needs ____ facts and dates and then you need a plan that is covered by the insurance plan.
individual
There could be a detox period for an impatient treatment program. Or a recovery _____
home
Chemical dependency is prevalent in our society in every field. What could we do?
Don’t use opiod or stimulant to study. Just trying it once can get you addicted? 1 out of 6.