audit scoring system Flashcards
what is audit?
scoring system used for drinkers
score of 0-7, what needs to be done?
reinforce current drinking patterns
8-14, what is this considered? what action should be taken?
hazardous. brief intervention
15-19. considered? what 3 things should be done?
harmful. brief intervention. motivational enhancement therapy sessions. consoder prescribing options
what score do you have to be above to be considered to have a possible dependance?
20
a binge is considered for men? for women?
over 8 units in one go, over 6 units in one go
what should be carried out in a patient with AUDIT score of 20 plus?
compregensive assessment
what score is used to measure dependance?
SADQ
mild dependance, SADQ score of?
less than 15
moderate dependancy - SADQ?
15-30
a SADQ score of 30 and above would indicate?
severe dependancy
what happens to GABA and glutamate when you drink?
alcohol works on gaba receptors, just like benzos
in alcohol withdrawals when do you have seizures?
0-48 hours
when does DT usually occur?
48-72 hours
symtpoms of DT?
coarse tremor, confusion, delusion, hallucination
can get auditory, tactile and visual hallucinations when quitting alcohol
y
medically assisted withdrawal- what drug is given?
chlodiazepoxide
how many days is this given over?
8
when do you stop giving the drug (in terms of findings to do with alcohol)
stop day 2 if they admit to drinking or you breathlise them and find they have been drinking
CIWA Ar score over ____? alan thomson and girl from taxi dan. start prophylactic medication. what is the medication?
- diazepam. cam diaz, dan , taxi
moderate dependance, what co morbidities would mean patient stays in as in patient?
epilepsy, seizures, dt, bzd dependance, LD, homeless, age >65
staggering gait, opthalmoplegia, confusional state?
wernickes
short term memory confabulation, clear consciousness?
korsakoffs
what is wernickes-korsikoffs caused by?
low thiamine(vit B1)
