CARN (everything you need to know)
standard alcoholic drink 14.5 grams of pure alcohol
12 ounces of beer
5 ounces of wine
1.5 ounces of 80 prof distilled spirits or liquor
binge drinking 5 or more drinks in one sitting
Alcohol metabolism the alcohol is metabolized by the liver (about 90%) and the other 10% is
excreted in the urine or in your breath
Averages 1 oz per 3 hours
Alcohol Depresses what System CNS
Medication and alcohol interactions Barbiturates
Benzos
General anesthetics
Solvents
Anticonvulsants
Increases sedative affect with Antihistamines
Increase change of upper GI bleed with Tylenol
Gastric irritation NSAIDS
Alcohol withdrawal symptoms -appear within 4-12 hrs
-abd cramping
-vomiting
-tremors
-restlessness
-inability to sleep
-TACHYCARDIA
-HTN
-transient hallucinations or illusions
-anxiety
-increased RR, temp
-tonic clonic seizures
-diaphoresis
alcohol withdrawal delirium A medical emergency usually occurring 2 to 3 days following
alcohol withdrawal and lasting 2 to 3 days. Characterized by paranoia, disorientation, delusions,
visual hallucinations, severe hypertension, dysrhythmia, vomiting, diarrhea, and diaphoresis.
Also known as delirium tremens.
Alcohol treatment *Overall Goal:*
•Achieve and maintain abstinence •Medical/psychological/self-help
•Tranquilizers, caffeine NOPE
*Early Intervention before dependence*
*Detox: how to manage:*
, •Immediate emergencies-fractures, internal bleeding, etc.
•Hospitalization may reveal: supervision is available, no access to alcohol
*Goal of therapy:*
•Treat the complications
•Restore to health and nutritional status
*Relief acute withdrawal:*
•Short term tranquilizers
•Vitamins-thiamine (B)
Recommended alcohol intake Men: No more than 4 drinks daily and 14 per week
Women and 65 and older: No more than 3 drinks per day and 7 per week
Minnesota Model A major model in the treatment of alcohol and drug abuse, involving a
month-long stay in an inpatient rehabilitation facility, a multidisciplinary treatment team,
systematic assessment, and a formal treatment plan with long and short term goals Adaptation of
12 step program
CIWA-Ar score used to determine whether to treat alcohol withdrawal
The maximum score is 67;
Mild < or=15,
moderate 16-20,
severe greater than 20.
DSM V Diagnostic and Statistical Manual of Mental Disorders
Mild 2-3
Moderate 4-5
Severe at least 6
audit ID at risk of alcohol issues
Low 0-7
Moderate 8-15
High 16-19
CAGE cut down, annoyed, guilty, eye opener
Negative <2
Positive >2
alcohol abuse disorderPrimary chronic disease
Effects of alcohol on the body peripheral neuropathy
myopathy
wernickes encephalopathy
korsakoffs psychosis
cardiomyopathy
esophagitis
gastritis
pancreatitis
alcoholic hepatitis
cirrhosis of liver
leukopenia
standard alcoholic drink 14.5 grams of pure alcohol
12 ounces of beer
5 ounces of wine
1.5 ounces of 80 prof distilled spirits or liquor
binge drinking 5 or more drinks in one sitting
Alcohol metabolism the alcohol is metabolized by the liver (about 90%) and the other 10% is
excreted in the urine or in your breath
Averages 1 oz per 3 hours
Alcohol Depresses what System CNS
Medication and alcohol interactions Barbiturates
Benzos
General anesthetics
Solvents
Anticonvulsants
Increases sedative affect with Antihistamines
Increase change of upper GI bleed with Tylenol
Gastric irritation NSAIDS
Alcohol withdrawal symptoms -appear within 4-12 hrs
-abd cramping
-vomiting
-tremors
-restlessness
-inability to sleep
-TACHYCARDIA
-HTN
-transient hallucinations or illusions
-anxiety
-increased RR, temp
-tonic clonic seizures
-diaphoresis
alcohol withdrawal delirium A medical emergency usually occurring 2 to 3 days following
alcohol withdrawal and lasting 2 to 3 days. Characterized by paranoia, disorientation, delusions,
visual hallucinations, severe hypertension, dysrhythmia, vomiting, diarrhea, and diaphoresis.
Also known as delirium tremens.
Alcohol treatment *Overall Goal:*
•Achieve and maintain abstinence •Medical/psychological/self-help
•Tranquilizers, caffeine NOPE
*Early Intervention before dependence*
*Detox: how to manage:*
, •Immediate emergencies-fractures, internal bleeding, etc.
•Hospitalization may reveal: supervision is available, no access to alcohol
*Goal of therapy:*
•Treat the complications
•Restore to health and nutritional status
*Relief acute withdrawal:*
•Short term tranquilizers
•Vitamins-thiamine (B)
Recommended alcohol intake Men: No more than 4 drinks daily and 14 per week
Women and 65 and older: No more than 3 drinks per day and 7 per week
Minnesota Model A major model in the treatment of alcohol and drug abuse, involving a
month-long stay in an inpatient rehabilitation facility, a multidisciplinary treatment team,
systematic assessment, and a formal treatment plan with long and short term goals Adaptation of
12 step program
CIWA-Ar score used to determine whether to treat alcohol withdrawal
The maximum score is 67;
Mild < or=15,
moderate 16-20,
severe greater than 20.
DSM V Diagnostic and Statistical Manual of Mental Disorders
Mild 2-3
Moderate 4-5
Severe at least 6
audit ID at risk of alcohol issues
Low 0-7
Moderate 8-15
High 16-19
CAGE cut down, annoyed, guilty, eye opener
Negative <2
Positive >2
alcohol abuse disorderPrimary chronic disease
Effects of alcohol on the body peripheral neuropathy
myopathy
wernickes encephalopathy
korsakoffs psychosis
cardiomyopathy
esophagitis
gastritis
pancreatitis
alcoholic hepatitis
cirrhosis of liver
leukopenia
