screening for tobacco
ask at every visit
smoke or use tobacco? do you plan to quit?
best predictor of tobacco addiction
how soon after you wake up do you smoke first cigarrete?
drug use that puts self or others at risk:
driving, smoking in general
improper reason for use
use of illicit drug
drug abuse
screening for alcohol
how many times in past year have you had 5 or more drinks/day for men or 4 or more drinks/day for women
-CyrWarman or CAGE
screening for drug abuse
CAGE-AID
lab signs of alcohol abuse
elevated AST, macrocytic RBC, ↓ PLTs
lab signs of IVDU
+ hep B/C or HIV
comorbidities with smoking
cough asthma bronchitis SOB chest pain sinusitis ear infection stomach pain pneumonia CAD
comorbidities with alcohol
esophagitis
gastritis
pancreatitis
hepatitis