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Alcohol Use Disorder (AUD)

Gennine M. Zinner, RNCS, ANP Reviewed 06/2019
 


BASICS

DESCRIPTION

  • Any pattern of alcohol use causing significant physical, mental, or social dysfunction; key features are tolerance, withdrawal, and persistent use despite problems.

  • Alcohol abuse: mal...

DIAGNOSIS

HISTORY

  • Thorough behavioral history

    • Anxiety, depression, insomnia

    • Psychological and social dysfunction, marital, or relationship problems

    • Social isolation/withdrawal

    • Domestic violence

    • Alcohol-rela...

TREATMENT

GENERAL MEASURES

  • Brief interventions and counseling by clinicians have proven ef...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

Patient Monitoring

  • Outpatient detoxification: daily visits (not recommended for patients with heavy alcohol abuse)

  • Early outpatient rehabilitation: weekly visits

  • Det...

REFERENCES

1
Smith PC, Schmidt SM, Allensworth-Davies D, et al. Primary care validation of a single-question alcohol screening test. J Gen Intern Med.  2009;24(7):783–788. [View Abstract on OvidMe...

ADDITIONAL READING

National Institute on Alcohol Abuse and Alcoholism. Helping patients who drink too much: a clinician’s guide. http://www.niaaa.nih.gov/guide. Accessed August 19, 2018. http://www.ni...

CODES

ICD10

  • F10.10 Alcohol abuse, uncomplicated

  • F10.20 Alcohol dependence, uncomplicated

  • F10.239 Alcohol dependence with withdrawal, unspecified

  • F10.288 Alcohol dependence with other alcohol-induced disor...

CLINICAL PEARLS

  • CAGE questionnaire: >2 “yes” answers is 74–89% sensitive, 79–95% specific for AUD; less sensitive for white women, college students, elderly; not an appropriate tool for less severe...

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