QuestionSBA
QuestionChoice
Both patients are drinking over the recommended 14 units with no alcohol free days per week. Therefore they should both be recommended to decrease their alcohol consumption.
62380
c
Advise the patients that their alcohol intake is within current NHS guidelines and no further action is required
QuestionChoice
Previous guidance suggested different limits for men and women, for men it was suggested 21 units per week maximum and women 14 units. However, this was changed in 2016 to the current maximum of 14 units for everyone.
Therefore both patients should be advised to cut down their alcohol intake to a maximum of 14 units per week.
62379
b
Only advise the female patient to decrease her alcohol intake to 14 units
QuestionChoice
The AUDIT questionnaire is used to measure the severity of chronic alcohol misuse. Whilst that may be helpful to assess the patients, most importantly is to recommend that they cut down their units to the recommeneded 14 units per week each.
62382
e
Provide the patients with the AUDIT questionnaire
QuestionChoice
It is recommended to drink no more than 14 units per week for men and women.
Previous guidance suggested different limits for men and women, for men it was suggested 21 units per week maximum and women 14 units. However, this was changed in 2016 to the current maximum of 14 units for everyone.
62378
a
Advise both patients to limit alcohol to 14 units per week each with several alcohol free days per week
QuestionChoice
Indications for inpatient withdrawal are:

- Patients drinking >30 units per day
- Scoring over 30 on the SADQ score
- High risk of alcohol withdrawal seizures (previous alcohol withdrawal seizures or delirium tremens, or history of epilepsy)
- Concurrent withdrawal from benzodiazepines
- Significant medical or psychiatric comorbidity
- Vulnerable patients
- Patients under 18

Therefore these patients do not require admission for alcohol detoxification. They should be advised to decrease their alcohol intake to the recommended 14 units per week.
62381
d
Arrange for inpatient alcohol detoxification for both patients
QuestionComment
"NICE guidelines recommend that these units should be spread throughout the week."  The answer says, several alcohol free days of the week.
25164
QuestionComment
Spread out i.e. they shouldn't be consecutive days 
25567
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Relapse Hallux
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Botox Ben
QuestionComment
Only 18 units a week? That's a night down the pub with the boys
27583
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Jaundice Inpatient
Concept
Chapter
# Recommended Alcohol Intake

Excessive alcohol consumption is increasing in the UK and has a significant burden of disease.

The recommended alcohol intake in the UK is 14 units per week for both men and women. NICE guidelines recommend that these units should be spread throughout the week.

# Calculating units

You can work out how many units there are in an alcoholic drink by multiplying the total volume of the drink in ml by its ABV (percentage alcohol by volume) and dividing the result by 1,000:

Units = strength (ABV) x volume (ml) ÷ 1000
1798
1993
Alcohol units
Topic
60
General Practice
12537
A male and female couple in their 60's attend their GP surgery to discuss their alcohol intake. They both drink 18 units per week; one 175ml glass of red one each per night during the week and two each on a Saturday and Sunday.

Which of the following is the best next step in the management of these patients?
a