3.4 Alcohol - Basic Concepts

Question 1

how many grams of alcohol is a standard drink?

Answer 1

10

Question 2

What breaks down alcohol?

Answer 2

Alcohol dehydrogenase

Question 3

What are the NHMRC guidelines?

Answer 3

• no more than 2 standard drinks a day to minimise lifetime risk or harm or injury
• no more than 4 standard drinks on a single occasion to minimise risk of alcohol related injury from that occasion

under 15 are at risk of harm and best outcome is to delay drinking

Women who are pregnant, planning pregnancy or breastfeeding should avoid alcohol

Question 4

What is the relationship between alcohol and thiamine?

Answer 4

Alcohol consumption decreases Thiamine in the diet and phosphorylation in the brain. This causes a decrease in biosynthesis of amino acids

Question 5

What is the CAGE questionaire?

Answer 5

C - cut down
A - Annoyed
G - guilty
E - eye opener

Question 6

What are the DSM 5 classifications?

Answer 6

Substance use disorder and non substance use disorder

Question 7

What are the complications of alcohol induced fatty liver disease?

Answer 7

Fatty liver
Alcoholic hepatitis
Cirrhosis

Question 8

What are the 8 stages of alcohol dependance treatment

Answer 8

1. Set abstinence goal
2. treat withdrawal
3. treat medical complications
4. refer patient to inpatient or outpatient treatment program and mutual aid group
5. discuss family treatment
6. Consider pharmacotherapy
7. treat concurrent mental illness
8. Provide ongoing support to patients and their families