CARN EXAM STUDY GUIDE
standard alcoholic drink - Answers :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 - Answers :5 or more drinks in one sitting
Alcohol metabolism - Answers :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 - Answers :CNS
Medication and alcohol interactions - Answers :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 - Answers :-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 - Answers :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 - Answers :*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 - Answers :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 - Answers :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 - Answers :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 - Answers :Diagnostic and Statistical Manual of Mental Disorders
Mild 2-3
Moderate 4-5
Severe at least 6
audit - Answers :ID at risk of alcohol issues
Low 0-7
Moderate 8-15
High 16-19
CAGE - Answers :cut down, annoyed, guilty, eye opener
Negative <2
standard alcoholic drink - Answers :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 - Answers :5 or more drinks in one sitting
Alcohol metabolism - Answers :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 - Answers :CNS
Medication and alcohol interactions - Answers :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 - Answers :-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 - Answers :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 - Answers :*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 - Answers :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 - Answers :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 - Answers :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 - Answers :Diagnostic and Statistical Manual of Mental Disorders
Mild 2-3
Moderate 4-5
Severe at least 6
audit - Answers :ID at risk of alcohol issues
Low 0-7
Moderate 8-15
High 16-19
CAGE - Answers :cut down, annoyed, guilty, eye opener
Negative <2
