Managing alcohol withdrawal in the acutely ill hospitalized adult.

摘要: Managing individuals with acute illness who are at high risk for alcohol withdrawal presents multiple challenges to the treatment teams caring them. Following realization that management of this group was often characterized by severe symptoms (delirium tremens, seizures and need leather restraints), a Task Force developed protocols guide care. Its principal goal avoid cardiorespiratory neurologic morbidities associated withdrawal. The first 441 episodes care treated after protocol implementation described in report. There were no instances oversedation requiring pharmacological reversal or intubation, few suffered outside emergency department use restraints declined dramatically. Outstanding issues arising from analysis include necessity subjecting symptom severity instrument rigorous psychometric study reconsideration appropriateness symptom-triggered approach treating population. Our experience suggests nonprescriptive educated motivated nursing medical staffs can reduce serious morbidity at-risk