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  1. 7.2.1 Assessment of patients requiring medically assisted alcohol withdrawal. For those in acute alcohol withdrawal with, or who are assessed to be at high risk of developing, alcohol related seizures or DTs (as per appendix A), offer admission to hospital for medically assisted alcohol withdrawal.

  2. Alcohol withdrawal can be associated with significant morbidity and even mortality if improperly managed. A major concern is to prevent development of delirium tremens

  3. Withdrawal Symptoms: Mild - tremor, agitation, nausea, vomiting, disorientation and anxiety. Moderate - more pronounced symptoms and transient auditory hallucinations may also occur.

  4. What key issues does this document explore? Diagnosis of alcohol withdrawal . Risk associated with alcohol withdrawal and their management. Safe and effective management of alcohol withdrawal. The diagnosis and treatment of Wernicke’s Encephalopathy. Relapse prevention in alcohol withdrawal. Who is this document aimed at?

  5. Onset of symptoms is usually 24-72hours after alcohol cessation of reduced intake, symptoms include: Severe tremor, delusions, tachycardia, pyrexia, visual and auditory hallucinations, confusion and disorientation, clouding of consciousness. If agitation is severe, please refer to appendix E for treatment algorithm.

  6. 5.1 Alcohol withdrawal syndrome is a range of symptoms that occur when someone who is alcohol dependent abruptly stops drinking or considerably reduce their alcohol intake. These include simple symptoms like tremors through to life threatening conditions such as

  7. Acute alcohol withdrawal symptoms can develop within a few hours and can progress rapidly from simple tremors to potentially life threatening seizures or Wernickes Encephalopathy. Not all drinkers will experience physical withdrawal and those that do present with a wide range

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