Download Alcoholism: A Guide for the Primary Care Physician by Henrietta N. Barnes, Mark D. Aronson, Thomas L. Delbanco, PDF

Family General Practice

By Henrietta N. Barnes, Mark D. Aronson, Thomas L. Delbanco, Julius B. Richmond, A. Abrams, M.D. Aronson, H.N. Barnes, R.D. Bayog, M. Bean-Bayog, J. Bigby, B. Bush, M.G. Cyr, J. Daley, T.L. Delbanco, J. Ende, A.W. Fox, P.A. Friedman, M.E. Griner, P.F. Griner

ISBN-10: 1461291550

ISBN-13: 9781461291558

Based at the Commonwealth Harvard Alcohol study and educating software, this clinically orientated paintings is designed to offer internists and first care practitioners the information and abilities essential to realize and take care of sufferers with alcoholism.

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Extra info for Alcoholism: A Guide for the Primary Care Physician

Example text

The very small increases in the rate of metabolism that may occur in the chronic drinker will not have any appreciable effect on the peak plasma concentrations achieved by a standard dose of alcohol (Fig. 1). The principal metabolite of ethanol is acetaldehyde. Of a number of enzyme systems that have been identified in vitro as capable of catalizing this oxida- 4. 1. Typical curves for plasma ethanol concentration following ingestion of one, two, or five drinks. tion, alcohol dehydrogenase is clearly the most important in vivo.

Continued). B. Either tolerance or withdrawal: Tolerance: Need for markedly increased amounts of alcohol to achieve the desired effort or markedly diminished effect with regular use of the same amount. Withdrawal: development of alcohol withdrawal (eg, morning shakes and malaise relieved by drinking) after cessation of or reduction in drinking. Adapted from American Psychiatric Association: Diagnostic and Statistical Manual of Mental Disorders, ed 3. Washington, DC, American Psychiatric Association, 1980.

Continued). B. Either tolerance or withdrawal: Tolerance: Need for markedly increased amounts of alcohol to achieve the desired effort or markedly diminished effect with regular use of the same amount. Withdrawal: development of alcohol withdrawal (eg, morning shakes and malaise relieved by drinking) after cessation of or reduction in drinking. Adapted from American Psychiatric Association: Diagnostic and Statistical Manual of Mental Disorders, ed 3. Washington, DC, American Psychiatric Association, 1980.

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