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Alcohol Problems

Behavioral Med

QuestionAnswer
How to ask people if they use alcohol in an open-ended manner Tell me about your use of alcohol
The strongst risk factor for developing alcohol dependence? Family history
quantity of 1 drink of beer or wine cooler 12 ounces
quantitiy of 1 drink of wine 5 ounces
quantity of 1 drink of Spirits (80 proof) 1.5 ounces
what kind of curve illustrates the relationship between alcohol and all-cause mortality? J-shaped curve
At risk drinking definition for men >14 drinks/wk, >4drinks/occasion
At risk drinking definition for women >7 drinks/week, >3 drinks/occasion
At risk drinking definition over 65 years old >7 drinks/week
DSM-IV Substance Abuse Criteria (must fulfill at least 1 of 4) 4 R's. Risky, Role function impairment, Relationship problems, Run-in's with the law
DSM-IV Substance Dependence (Must fulfill 3 of 7) Unsuccessful efforts to quit or cut down, Uses more than intended, Continued use despirte adverse physical or psychological consequences, Excessive time devoted to obtaining, using, recoveing, Change in activities, relationships, Tolerance, Withdrawal
Alcohol withdrawal clinical features tremor, tachycardia, htn, sweating, insomnia, N/V, photophobia, hallucinations, hyprereflexia, irritability, anxiety, alcohol craving, seizures possible
When does alcohol derlirium occur? Develops 24-48 hours after cessation or reduction of alcohol intake. Duration 4-7 days. 10-15% mortality
What percentage of primary care patients are candidates for intervention? (at-risk, abuse, dependence)? 20%
Which population has the highest 12-month prevalence of alcohol dependence Ntv American Males and females
NIAAA recommendation 4A's Ask, Assess, advise, assist
CAGE questionaire letter C Have you felt you ought to quit or CUT DOWN?
CAGE questionaire letter A Have you been ANNOYED when others criticize your drinking or drug use?
CAGE questionaire letter G Have you felt GUILTY over your use, or things you’ve done when high?
CAGE questionaire letter E Do you ever drink or use in the morning to settle your nerves? (EYE-OPENER)
1+ CAGE score Warrants further investigation
2+ CAGE score highly suggestive of alcohol dependence
What does a positive AUDIT result mean? Does not constitute a diagnosis, but is DOES warrant further evaluation
FRAMES for brief alcohol intervention Feedback, Resposibility, Advice, Menu of options, Express empathy, Support self-efficacy
________ is an opioid antagonist used to reduce relapse and craving for alcohol Naltrexone (Revia). Do not prescribe this a with an opioid b/c the opioid won't work.
Created by: ltm12
 

 



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