If you are charged with a DUI in Nevada and your BAC level is .18 or above, you will be hit with additional requirements due to your high BAC.
If convicted, the judge will order you to attend an alcohol/drug evaluation to determine if you are an abuser of drugs or alcohol. The evaluation will most likely recommend additional treatment, such as counseling.
The biggest burden is that the court shall require you to install a breath interlock device on any vehicle you own or operate for a minimum 12 months to a maximum 36 months, all at your own expense.
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