Substance-Related Disorders

Question 1

“Safe” Drinking for Women

Answer 1

7 standard drinks per week, or 3 drinks per day

Question 2

SBIRT

Answer 2

Screening
Brief 
Intervention
Referral to 
Treatment

Question 3

“Safe” Drinking for Men

Answer 3

14 Standard Drinks per week or 4 drinks per day

Question 4

Diagnostic Criteria for Substance Use

Answer 4

1. Tolerance
2. Withdrawal
3. Intake is larger or over a longer period of time
4. Desire to control or unsuccessful efforts to control intake
5. Great deal of time spent to secure, use, or recover from the substance
6. Important social, occupational, or recreational activities given up or reduced because of substance
7. Continued use despite knowledge of dangers of use.

Question 5

CIWA-AR scoring thresholds

Answer 5

15 ≥ indicates immediate need for pharma intervention
8-14 is considered the point at which pharma intervention should be initiated
≥ 8 indicate need for supportive treatment and continued moonitoring without pharma intervention

Question 6

qday dose of oral thiamine during detox

Answer 6

300 mg

Question 7

COWLS Scoring Thresholds

Answer 7

0-14 one level of care with clonidine

≥ 15 more clonidine, and if score does not decrease, add phenobarbital.