Alcohol 2 Flashcards Preview

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Flashcards in Alcohol 2 Deck (18):
1

Vaportini

High tech alternative appealing
Abrupt withdrawal can result in seizures and death
Still causes withdrawal and dependence
Still can be detected through breathalyzer/blood test

2

Hand Sanitizer Gel

Contains 5 shots
Practice of mixing it with Listerine to create a minty cocktail

3

Alcoholism

Chronic progressive disease that can be fatal
Primary disorder, not a side effect of another disorder
Effects nearly every cell in the body
Severity of disease is affected by genetics, culture, physiology, and response to stimuli
Little control of how frequently or how much they drink
Develops insidiously, with no clear line between problem drinking and alcoholism

4

Alcoholism Symptoms

Only sign may be unpleasant withdrawal after brief abstinence
Tolerance "ability to hold liquor"
Preoccupied with drinking, deny addiction, continue despite negative consequences
Drink early and often
Have history missing work or school due to hangover
Periodically quit drinking, but abstinence does not last long
Eventually dominates thoughts, emotions and actions

5

AUDIT

Alcohol Use Disorders Identification Test
<8, Low level of alcohol problem, no intervention needed
8-15, Simple advice focusing on reducing hazardous drinking
16-19- Brief counseling and continued monitoring
>20 Warrant further diagnostic evaluation for alcohol dependence

6

Molecular Basis of Alcoholism

10 major studies, % association with A1 allele ranges from 12-37%
Evidence suggests that A1 allele modifies clinical expression, but is neither a necessary nor sufficient cause for alcoholism
Epistasis-- most likely explanation

7

Health Care costs

223.5 billion dollars spent on alcoholism

8

Korsakoff Syndrome

Chronic memory loss disorder caused by severe deficiency in thiamine
Commonly caused by alcohol misuse

9

Fetal Alcohol Syndrome

Profile of physical and behavioral abnormalities caused by alcohol drinking during first trimester of pregnancy
1. growth retardation before and after birth
2. facial abnormalities, small head small eyes
3. abnormal behavior, mental retardation

10

Hangover

Set of symptoms that occur after drinking moderate to large amounts of alcohol in a short period of time
- 6 drinks male, 3-5 female
Headache, nausea, diarrhea, low appetite, shakiness, tired, (flu-like)
Precise cause unknown, thought to be multifaceted
Dose increases alcohol severity
Type of alcoholic beverage is important due to number of cogeners(impurities/chemicals that change odor, taste and color)
Body and cellular dehydration play a role due to inhibition of antidiuretic hormone
Sugar increases hangover

11

Benzodiazepine

Manage patients with a history of seizures
Manage alcohol withdrawal delirium
Valium, Ativan, Serax

12

Naltrexone (ReVia)

Opiate receptor antagonist
Alters the high of drinking
Drive to drink after first drink is reduced
lapse does not turn into a relapse
Most effective when combined with psychotherapy
Patients with high familial predisposition for alcoholism have lower levels of beta endorphin
Beta endorphin dramatically increases when drinking
Naltrexone has greatest efficacy within these families
First discovered in animal studies
Nausea combatted by taking in food or milk
CON
Must be opiate free and opiate analgesics won't work well

13

Naltrexone (Vivitrol)

Injectable formulation of naltrexone
Naltrexone embedded in microsphere
380 mg per vial
Includes diluent and 20 gauge needle for Iim injection
Dosing lasts 30-40 days
No issue with medicine adherence, but must wait until it is metabolized for drug to be gone

14

Acamprosate (Campral)

Structurally similar to glutamate
Attenuates neuronal hyper excitability due to chronic alcohol intake and withdrawal
Anti-craving drug
Approved for use in 2005

15

Disulfiram (antabuse)

Irreversible inhibitor of aldehyde dehydrogenase
Causes massive buildup of acetaldehyde
Dysphoria, hypotension, flushing, nausea, vomiting, intense headache
Aversive effects from 1 drink

16

Stimulants

Do not lower BAC
Does not reverse impairment
More dangerous because stimulants may empower you to drive

17

Kudzu Root Extract

Root extract that contains several isoflavones
Shown to abruptly reduce drinking by alcohol preferring rats and hamsters
Human study has shown that even 1 day of treatment reduces heavy drinking in a simulated "natural environment"

18

AA (Alcoholics Anonymous)

Voluntary
Meetings to maintain abstinence
Admit to being an alcoholic
Uses 12 step program, based on religious beliefs