alcohol withdrawal syndrome

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alcohol withdrawal syndrome

The neurological, psychiatric, and cardiovascular signs and symptoms that result when a person accustomed to consuming large quantities of alcohol suddenly becomes abstinent. Alcohol withdrawal usually follows a predictable pattern. In the first hours of abstinence, patients are often irritable, anxious, tremulous, and easily startled. Their blood pressure and pulse rise, but they remain alert and oriented. If they do not consume alcohol (or receive drug treatment) in the first 12 to 48 hours, they may suffer an alcohol withdrawal seizure. Abstinence for 72 to 96 hours may result in severe agitation, hallucinations, and marked fluctuations in blood pressure and pulse. This stage of withdrawal is known as delirium tremens, or alcoholic delirium; it may prove fatal in as many as 15% of patients. Synonym: alcohol withdrawal See: chronic alcoholism; delirium tremens

Patient care

Benzodiazepines, e.g., chlordiazepoxide, are the preferred agents for managing alcohol withdrawal although other agents, e.g., carbamazepine, may be useful in treating mild cases. The patient should be comforted and reoriented as needed. Familiar objects and people may aid reality orientation. Every effort should be made to prevent unintentional injury; bedrails should be padded to protect against seizures and trauma, and patients should be protected from falling. Excessive stimulation of the patient should be avoided. Patients who are suffering delirium tremens are typically cared for in an Intensive Care Unit, where minute-to-minute monitoring of vitals signs and invasive management is readily available.

Medical Dictionary, © 2009 Farlex and Partners

alcohol withdrawal syndrome

A group of symptoms and signs that develop within 6–24 hours of taking the last drink in a person suffering from ALCOHOLISM. They include agitation, anxiety, tremors, loss of appetite, nausea, vomiting, sweating, insomnia, disorientation, grand mal seizures and delirium tremens. Treatment involves sedation, counselling, reassurance and social support. Benzodiazepine drugs are currently favoured. Attention is given to nutrition and especially to vitamin B deficiencies. PSYCHOTROPIC ANALGESIC NITROUS OXIDE has been used to good effect in many patients.
Collins Dictionary of Medicine © Robert M. Youngson 2004, 2005

Patient discussion about alcohol withdrawal syndrome

Q. ALCOHOL WITHDRAWAL what are the symtoms of it?

A. thank you dagmar--i hope this answer will help people to understand what this drug can do to you---peace---mrfoot56

More discussions about alcohol withdrawal syndrome
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References in periodicals archive ?
An estimated 40 per cent of patients admitted with alcoholrelated problems in the region are at risk of alcohol withdrawal syndrome.
Comparative effectiveness and costs of inpatient and outpatient detoxification of patients with mild-to-moderate alcohol withdrawal syndrome. NEJM, 2009;320:358-65.
In January 2011, a diagnosis of rabies was considered in a Wisconsin man with encephalopathy who was hospitalized for treatment of alcohol withdrawal syndrome. He died nearly 2 weeks later of rabies.
One tool designed to quantify alcohol withdrawal syndrome is the Clinical Institute for Withdrawal Assessment-Alcohol Revised (CIWA-Ar; Table 1); it has been demonstrated to be valid and reliable.
Alcohol withdrawal syndromes: a review of pathophysiology, clinical presentation and treatment.
Medical interventions in the field of alcoholism are primarily aimed at relieving the consequences of alcohol withdrawal syndrome and arresting alcohol drinking, maintaining sobriety for as long as possible (Addolorato et al.
Thiamin pyrophosphate effect and erythrocyte transketolase activity during severe alcohol withdrawal syndrome. Acta Psychiatr Scand 1993;88:80-4.
However, despite the limitations imposed on the study by self-selection, there is good evidence that our study subjects were at risk for experiencing the alcohol withdrawal syndrome. All subjects met DSM-IIIR criteria for alcohol abuse or dependence, and over 80% of the subjects reported a history of previous alcohol withdrawal symptoms.
Meanwhile, he is becoming increasingly tremulous as his alcohol withdrawal syndrome intensifies.
Whereas the normal drinker may experience the passing misery of the "hangover," the alcohol-dependent person may have severe trembling, hallucinations, confusion, convulsions, and delirium -- the alcohol withdrawal syndrome. The average person would have difficulty distinguishing between the common alcohol withdrawal syndrome involving anxiety, sweating, nausea, and the "shakes," and the more severe and potentially fatal condition known as delirium tremens.
They are the alcohol withdrawal syndrome which includes alcohol withdrawal seizures, delirium tremens, alcohol hallucinosis.

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