Alcohol dependance disorders Flashcards Preview

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Flashcards in Alcohol dependance disorders Deck (14)
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1

What is Prochaska & DiClemente?

stages of change for alcohol disorders
3-4 cycles

2

How are alcohol disorders screened?

FAST Screening test: first 4 questions
more than 3 = hazardous drinking and move to:
Audit: last 6 questions
8-15 = hazardous drinking
20+ = dependence

3

How are alcohol disorders treated?

Oral Thiamine for low risk
IM/IV Pabrinex for high risk

4

What supportive measures can be taken with alcohol disorders?

Nutrition
Hydration
Anti-emetics
Anti-diarrhoeals

5

When does an alcohol withdrawl take place after last drink?

4-12 hours

6

When do withdrawl seizures take place after last drink?

6 – 48 hrs

7

What can withdrawl seizures lead to?

Status Epilepticus

8

What is Deliruim tremens?

severe confusion, tremors, seizures, sweating

9

When does DT present after last drink?

3 - 10 days

10

What treatment can be given for DT?

benzodiazepine + pabrinex

11

When does Alcoholic Hallucinosis happen?

happens in clear consciousness, full recovery after 6 months of staying away from alcohol, if not it is a psychotic illness

12

Is DT a medical emergency?

YES! can last a week to a month

13

What is an Alcoholic Hallucinosis?

Acoustic hallucinations
Delusions
Mood disturbances
(occurs shortly after chronic drinking)

14

What are the pharmacological measures for relapse prevention?

1st line: acamprosate and naltrexone
2nd line: disulfiram