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DU PA Addiction
Duke PA Addiction
Question | Answer |
---|---|
recommendation for a patient with alcohol dependance | total abstinence |
triggered by abrupt cessation or reduction of intake in dependant individuals | alcohol withdrawal |
alcohol withdrawal symptoms onset __ hours after last drink | 12-24 |
peak intensity of alcohol withdrawal symptoms at __ hours | 24-48 |
clinical features of alcohol withdrawal | tremor, tachycardia, hypertension, sweating, insomnia, N/V, photophobia, hallucinations, hyperreflexia, irritability, anxiety, seizures, alcohol craving |
alcohol withdrawal delerium develops __ hours after cessation or reduction of alcohol intake | 24-48 |
alcohol withdrawal delirium has a duration of | 4-7 days |
treatment of alcohol withdrawal | benzodiazepines, thiamine (parenteral), reduce stimulation, support |
when do you detox someone as an inpatient | h/o seizures or delerium, unstable medically, SI, HI, psychosis, unstable environment, no support or transportation |
when do you detox someone as an outpatient | no h/o seizures, delirium, stable med/psych, can return daily, social support |