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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.
Trust Guidelines for the Management of Acute Alcohol Withdrawal (excluding pregnancy) Quick reference Vitamin Prophylaxis and treatment of Wenicke-Korsakoff Encephalopathy The guidance applies to all alcohol use disorders; hazardous, harmful and dependent. The changes have been made in response to a national shortage of Pabrinex. The Guidance has
Withdrawal Symptoms: Mild - tremor, agitation, nausea, vomiting, disorientation and anxiety. Moderate - more pronounced symptoms and transient auditory hallucinations may also occur.
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.
5.4.4 Treatment of alcohol withdrawal should be symptom triggered, i.e. tailored to the person’s individual needs and determined by the severity of withdrawal signs and symptoms. 5.4.5 It is important that patients who are identified as alcohol dependent are assessed for alcohol withdrawal syndrome. This should be
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
Does the patient have any withdrawal symptoms when they go without alcohol for longer than 6-8 hours? (sweats, shaking, fluctuating temperature, raised BP and heart rate, nausea, vomiting / retching, anxiety, agitation) in severe cases seizures or at the extreme Delirium Tremens) . YES. Has the patient had a detox within the last 6 months. NO. YES
