CARN Test Questions with 100% Complete Answers

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