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Terms in this set (63)
The DSM-5-TR uses 11 criteria, including impaired
control, social impairment, risky use, and
What criteria are used to
pharmacologic indicators (tolerance/withdrawal). A
diagnose alcohol use
diagnosis is made based on:
disorder (AUD) in the
Mild: 2-3 symptoms
DSM-5-TR?
Moderate: 4-5 symptoms
Severe: 6 or more symptoms
Cravings for alcohol
What are common Continued use despite consequences
behavioral signs of Drinking larger amounts or for longer than intended
alcohol use disorder? Failed attempts to cut down
Neglect of responsibilities
Slurred speech
Incoordination
What are the symptoms of Unsteady gait
alcohol intoxication? Nystagmus
Impaired attention or memory
Stupor or coma (in severe cases)
, Tremors (6-12 hours after last drink)
Anxiety, agitation
Tachycardia, hypertension
What are the symptoms of
Insomnia
alcohol withdrawal?
Seizures (12-48 hours after last drink)
Delirium tremens (DTs) - Hallucinations, confusion,
autonomic instability (48-72 hours after last drink)
A severe alcohol withdrawal syndrome with
What is delirium tremens
confusion, hallucinations, and autonomic hyperactivity
(DTs), and when does it
(tachycardia, hypertension). Occurs 48-72 hours after
occur?
last drink.
What is the first-line Benzodiazepines (e.g., lorazepam, diazepam,
treatment for acute chlordiazepoxide) to prevent seizures and DTs.
alcohol withdrawal?
Naltrexone - Blocks opioid receptors, reduces
cravings
What medications are
Acamprosate - Modulates glutamate, reduces
FDA-approved for alcohol
cravings
use disorder?
Disulfiram - Inhibits aldehyde dehydrogenase, causing
an aversive reaction if alcohol is consumed
Which medication should Naltrexone (can cause hepatotoxicity)
be avoided in patients
with liver disease?
AUDIT (Alcohol Use Disorders Identification Test) -
Identifies hazardous drinking
What are common CAGE questionnaire - 4-question screening for
screening tools for alcohol dependence (Cut down, Annoyed, Guilty,
alcohol use disorder? Eye-opener)
CIWA-Ar (Clinical Institute Withdrawal Assessment for
Alcohol) - Assesses alcohol withdrawal severity