Tried to cut down or stop more than once, but couldn't.
Drinking more or over a longer period than intended.
A diagnosis of AUD is established once ≥ 2 criteria are met.
11 criteria based on the patient's history within the past 12 months.
The CAGE test is considered positive for AUD if ≥ 2 questions are answered in the affirmative.
Every “yes” response counts as one point.
Eye-opener: Have you ever felt you needed a drink first thing in the morning ( eye-opener) to steady your nerves or to overcome a hangover?.
Guilty: Have you ever felt guilty about drinking?.
Annoyed: Have people annoyed you by criticizing your drinking?.
Cut down drinking: Have you ever felt you should cut down on your drinking?.
FOOD ADDICTS ANONYMOUS DEXTROSE SERIES
A series of four questions ( CAGE) is used to screen for AUD.
How often did you have ≥ 6 drinks on one occasion in the past year? How many drinks did you have on a typical day when you were drinking in the past year? How often did you have a drink containing alcohol in the past year? Haloperidol may worsen respiratory depression secondary to alcohol intoxication!
Thorough assessment for occult trauma (e.g., imaging), if suspected.
Correction of electrolyte disbalance, hypoglycemia, and hypothermia.
Thiamine: for Wernicke encephalopathy prophylaxis or treatment.
Mechanical restraints may be used for individuals who pose a danger to themselves and/or others if de-escalation and medication strategies have been unsuccessful.
Sedation with benzodiazepines or typical antipsychotics (e.g., haloperidol).
Laboratory tests: See “ Diagnostics” below.
40 min), patients with alcohol intoxication may deteriorate over time. In the US, the maximum legal limit for driving under the influence of alcohol is a BAC of 0.08%.īecause alcohol has a long absorption time (approx.
Absent airway defense reflexes and respiratory depression.
Alcoholic coma (usually occurs at BAC levels 0.40–0.50%) including:.
Increasing unsteadiness of gait and slurred speech.
Significant reduction of attention, responsiveness, alertness, and reaction time.
Only a small amount of alcohol gets absorbed by the oral, esophageal, and/or gastric mucosa.
The majority of alcohol consumed is absorbed by the proximal small intestine.
♂: consumption of < 4 standard drinks on any single day and < 14 standard drinks per week.
♀: consumption of < 3 standard drinks on any single day and < 7 standard drinks per week.
Low-risk drinking: Drinking levels associated with a low risk of developing alcohol use disorder:.
A pattern of alcohol use that brings a person’s blood alcohol concentration (BAC) to above 0.08%.
Consumption of > 4 standard drinks in women and > 5 standard drinks in men in 2 hours.
♂: consumption of > 14 standard drinks per week or > 4 standard drinks per day.
Excessive alcohol use: A pattern of alcohol use that involves binge drinking, heavy drinking, any alcohol use in pregnant women, and any alcohol use in individuals 7 standard drinks per week or > 3 standard drinks per day.
Standard drink: An alcoholic drink containing 14.0 g ( 0.6 oz) of pure alcohol.
Definition : : a temporary condition in which excessive consumption of alcohol alters a person's consciousness, cognition, perception, judgment, affect, and/or behavior.
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