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Flashcards in stubstance abuse assessment Deck (10)
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1

alcohol use and abuse

- over half of people 12+ drink
- 1/5th = binge drinkers
- alcohol = 40% death
- 41k traffic accidents related to alcohol
- 4+ drinks per day is associated with increased death
- hypertension is a common side effect

2

illicit drug use

- 8% americans 12+
- marijuana, cocaine, heroin, hallucinagens, inhalents, prescritpion

3

standard drink

- 1 12oz 5% beer
- 8-9oz malt liqior
- 5 oz wine
- 1.5 oz spirits
- 3oz martini = 2 standard dinks

4

categories of alcohol drinking

* moderate: men < 2, women < 1
* at risk: men > 14 a week or > 4 occasion, women > 7 drinks a week, > 3 drinks occasion

5

substance abuse

one or more of the following in a year:
1. substance use interferes with work, relationships
2. reoccurance use in driving
3. arrests
4. continues use despite social problems

6

AUDIT test

complete pattern of person's drinking, current drinking, used in ED
AUDIT C is shorter and helpful for screening heavy drinking

7

CAGE

cutdown, annoyed, guilty, eye opener
- busy primary offices

8

TWEAK

screening for pregnant women

9

clinical signs of substance use disorders

* alcohol: unsteady gait, destated, dulled
* sedatives: unsteady gait, talkativeness, slurred speech, inattention, sexual aggressiveness
* nicotine: alert, increased heart rate and systolic BP, loss of appetite, head rush, dizziness

10

objective data associated with substance abuse

- GGST levels 4+ drinks
- AST months of chronic drinking
- MCV heaving drinking 4-8 wks
breaht alcohol levels > .08
- clinical appearance