Alcohol Use Disorder Flashcards

memorize alcohol use disorder symptoms as well as treatment (28 cards)

1
Q

What is alcohol use disorder? (AUD)

A

AUD is a substance use disorder characterized by repeated use of alcohol despite significant problems associated with its use

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2
Q

What are risk factors for AUD?

A

Cultural attitudes towards drinking, availability of alcohol, peer pressure are environmental risk factors for alcohol use disorder

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3
Q

What criteria needs to be met to diagnose AUD?

A

A problematic pattern of alcohol use, must meet 2 of criteria A within a 12-month period

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4
Q

What is the mnemonic for AUD?

A

TWO PACK

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5
Q

T in TWO PACK stands for…

A

Tolerance

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6
Q

W in TWO PACK stands for…

A

Withdrawal

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7
Q

O in TWO PACK stands for…

A

Occupational, social, recreational activities reduced

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8
Q

P in TWO PACK stands for…

A

Persistent desire or unsuccessful attempt to reduce consumption

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9
Q

A in TWO PACK stands for…

A

Amount of use is excessive

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10
Q

C in TWO PACK stands for…

A

Continues substance use despite having persistent or recurrent physical or psychological problems

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11
Q

K in TWO PACK stands for…

A

Keeps spending a lot of time in search, use or recovery from alcohol

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12
Q

How much criteria for AUD to be considered severe?

A

Over five

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13
Q

How much criteria for AUD to be considered moderate?

A

Four to five

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14
Q

How much criteria for AUD to be considered mild?

A

Two to three

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15
Q

Risk factors for substance abuse

A

Genetics, family dynamics involving anger or lack of closeness, co-occurring psychiatric disorders

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16
Q

What are treatments for alcohol use disorder?

A

Rehabilitation, motivation interviewing, cognitive behavioral therapy, 12-step therapies, mindfulness-based therapies

17
Q

What are some assessment tools for substance use disorders?

A

Clinical Institute Withdrawal Assessment (CIWA), MAST (Michigan Alcohol Screening Test) and Drug Abuse Screening Test (DAST)

18
Q

What is Alcohol Withdrawal?

A

Syndrome that occurs within several hours to a few days of stopping heavy and prolonged alcohol use. Includes hyperactivity, anxiety and gastrointestinal symptoms

19
Q

What needs to be met for alcohol withdrawal to be diagnosed?

A

Cessation of or reduction in alcohol use that has been heavy or prolonged, as well as 2 symptoms of Criteria B within several hours to a few days after last drink

20
Q

What is Stage 1 of alcohol withdrawal? (6-8 hrs)

A

Mild tremors, anxiety, nausea

21
Q

What is Stage 2 of alcohol withdrawal? (12-24 hrs)

A

Tremors, agitation, insomnia, some hallucinations

22
Q

What is Stage 3 of alcohol withdrawal? (12-48 hrs)

A

Severing of symptoms listed in Stage 2, but possibility of seizures

23
Q

What is Stage 4 of alcohol withdrawal? (2-5 days)

A

Unstable vitals, confusion, agitation, fever, tachycardia, hypertension, sweating

24
Q

What is early remission?

A

Early remission is no symptoms (excluding cravings) for at least three months but less than a year

25
What is sustained remission?
No criteria are met for a period of 12 months or longer
26
What are pharmacological treatments for AUD?
Gabapentin, Naltrexone, Acamprosate, Topiramate (GNAT)
27
What are pharmacological treatments for withdrawal? (uncomplicated)
Diazepam and lorazepam
28
What are pharmacological treatments for withdrawal?(complicated)
Load with diazepam, lorazepam, administer CIWA