CARN EXAM QUESTIONS AND
ANSWERS 100% ACCURATE
standard alcoholic drink - ANSWER-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 - ANSWER-5 or more drinks in one sitting
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
Alcohol Depresses what System - ANSWER-CNS
Medication and alcohol interactions - ANSWER-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 - ANSWER--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 - 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.
, Alcohol treatment - ANSWER-*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)
What happens is you give glucose before thiamaine - ANSWER-Wernicke's
encephalopathy
poor nutrition due to alcohol use - ANSWER-replacement- thiamine, calcium,
potassium, phosphorus
Multivitamins
electrolyte replacement
Wernicke-Korsakoff syndrome - ANSWER-Organic brain syndrome resulting from
prolonged heavy alcohol use, involving confusion, unintelligible speech, and loss of
motor coordination. It may be caused by a deficiency of thiamine, a vitamin metabolized
poorly by heavy drinkers.
Wenicke's encephalopathy - ANSWER-most serious form of thiamine deficiency in
alcoholic pts
Causes vomiting, dysfunction of the extraocular muscles, fever, ataxia and mental
deterioration.
Korsakoff's syndrome - ANSWER-an alcohol related disorder marked by extreme
confusion, memory impairment, and other neurological symptoms
Alcoholic patient history - ANSWER-Last drink
Use any other substances
amount and time been drinking
Medical and BH hx
Previous withdrawals (seizures DT etc)
ANSWERS 100% ACCURATE
standard alcoholic drink - ANSWER-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 - ANSWER-5 or more drinks in one sitting
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
Alcohol Depresses what System - ANSWER-CNS
Medication and alcohol interactions - ANSWER-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 - ANSWER--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 - 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.
, Alcohol treatment - ANSWER-*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)
What happens is you give glucose before thiamaine - ANSWER-Wernicke's
encephalopathy
poor nutrition due to alcohol use - ANSWER-replacement- thiamine, calcium,
potassium, phosphorus
Multivitamins
electrolyte replacement
Wernicke-Korsakoff syndrome - ANSWER-Organic brain syndrome resulting from
prolonged heavy alcohol use, involving confusion, unintelligible speech, and loss of
motor coordination. It may be caused by a deficiency of thiamine, a vitamin metabolized
poorly by heavy drinkers.
Wenicke's encephalopathy - ANSWER-most serious form of thiamine deficiency in
alcoholic pts
Causes vomiting, dysfunction of the extraocular muscles, fever, ataxia and mental
deterioration.
Korsakoff's syndrome - ANSWER-an alcohol related disorder marked by extreme
confusion, memory impairment, and other neurological symptoms
Alcoholic patient history - ANSWER-Last drink
Use any other substances
amount and time been drinking
Medical and BH hx
Previous withdrawals (seizures DT etc)
