Questions and Correct Answers
2024 version
A
standard alcoholic drink - ANSWER 14.5 grams of pure alcohol
12 ounces of beer
5 ounces of wine
VI
1.5 ounces of 80 prof distilled spirits or liquor
binge drinking - ANSWER 5 or more drinks in one sitting
TU
Alcohol metabolism - ANSWER 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
IS
Alcohol Depresses what System - ANSWER CNS
M
Medication and alcohol interactions - ANSWER Barbiturates
Benzos
General anesthetics
O
Solvents
Anticonvulsants
A
Increases sedative affect with Antihistamines
Increase change of upper GI bleed with Tylenol
N
Gastric irritation NSAIDS
Alcohol withdrawal symptoms - ANSWER -appear within 4-12 hrs
JP
-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 - ANSWER 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.
A
Alcohol treatment - ANSWER *Overall Goal:*
•Achieve and maintain abstinence •Medical/psychological/self-help
VI
•Tranquilizers, caffeine NOPE
*Early Intervention before dependence*
TU
*Detox: how to manage:*
•Immediate emergencies-fractures, internal bleeding, etc.
•Hospitalization may reveal: supervision is available, no access to alcohol
IS
*Goal of therapy:*
•Treat the complications
•Restore to health and nutritional status
M
*Relief acute withdrawal:*
O
•Short term tranquilizers
•Vitamins-thiamine (B)
A
Recommended alcohol intake - ANSWER Men: No more than 4 drinks daily and 14
per week
N
Women and 65 and older: No more than 3 drinks per day and 7 per week
JP
Minnesota Model - ANSWER 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 - ANSWER score used to determine whether to treat alcohol withdrawal
The maximum score is 67;
Mild < or=15,