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Topics:
General Hepatology • Critical Care • Psychiatry • Addiction • Hepatology • Hospital Medicine • Addiction Medicine • Addiction Psychiatry
How do you evaluate and manage acute alcohol withdrawal when symptom-driven protocols are confounded/unreliable?
For instance, what do you do when patients have chronic tremors, cognitive impairment, hypertension, etc.?
Answer from: at Academic Institution
Often, if someone has an underlying condition that may artifactually elevate their symptom monitor scores (such as essential tremor in CIWA-Ar or tachycardia from cancer or sepsis in mMINDS), I will do any of the following:
Increase the threshold for the symptom-triggered med by a few points (if ...
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Answer from: at Community Practice
Librium 50 TID
Librium 50 BID
Librium 50 qam and can discharge them unless they’re getting PRN.
I don’t do CIWA since it’s so subjective, but just have staff take vitals q4h and if BP systolic above 160 or heart rate above 115 then PRN. The best way to not have breakthrough seiz...