Substance Use Disorder Flashcards
What is the substance abuse triad?
psychological dependence or craving
physiologic dependence
tolerance
what is the NIAA consumption amount of alcohol that increases health risks?
Men under 65- 14 per week, 4 drinks a day
women and adults over 65- more than 7 standard drinks per week on average
how many criteria does a patient require to be classified as “mild” alcohol use disorder?
2-3 required for mild.
there is a strong association with alcoholism and what type of disorders?
psychiatric
what is CAGE?
screening tool for alcoholism.
Ever felt you should CUT down
Have people ANNOYED you by criticizing your drinking
Have you ever felt GUILTY about drinking
Have you ever taken a drink in the first thing in the morning (EYE OPENER)
What is a complication of alcohol use disorder due to thiamine deficiency?
Wernicke Encephalopathy
What is the triad of Wernicke Encephalopathy syndrome?
Encephalopathy (disorientation, inattentiveness)
OCC dysfunction
Gait ataxia
What is a late consequence of chronic WE?
Korsakoff syndrome
What does Korsakoff syndrome cause
anterograde/retrograde amnesia. long term memory and cognitive skill impairment is less common.
mild alcohol withdrawal symptoms usually being within how long?
6- 24 hrs. of last drink.
What are some sx of mild alcohol withdrawal
anxiety
restlessness
insomnia
diaphoresis
palpitations
headache
alcohol craving
what are some physical signs of alcohol withdrawal?
tachycardia, hypertension, tremor
within how many days will mild alcohol withdrawal sx resolve?
one to two days
within what time frame will you have severe sx of alcohol withdrawal such as hallucinations?
12-24 hours and resolves within another 1-2 days
if you were to have a seizure from alcohol withdrawal, what is the usual time frame for it to occur?
6-48 hrs.