Acute_Alcohol_Withdrawal_QA Flashcards
What pharmacotherapy is offered to treat the symptoms of acute alcohol withdrawal?
Consider offering a benzodiazepine (e.g. lorazepam) or carbamazepine in the acute phase. Switch to long-acting benzodiazepines (e.g. chlordiazepoxide or diazepam) in the outpatient setting. Alternatives: Clomethiazole or carbamazepine.
What benzodiazepine or alternative can be considered in the acute phase of alcohol withdrawal?
Consider offering a benzodiazepine (e.g. lorazepam) or carbamazepine in the acute phase.
What long-acting benzodiazepines are used in the outpatient setting for alcohol withdrawal?
Switch to long-acting benzodiazepines (e.g. chlordiazepoxide or diazepam) in the outpatient setting.
What alternatives to benzodiazepines can be used for alcohol withdrawal?
Alternatives: Clomethiazole or carbamazepine.
Why should clomethiazole be avoided in patients who may relapse?
Do not use clomethiazole in patient who may relapse as clomethiazole and alcohol, especially on a background of cirrhosis, can cause fatal respiratory depression even with short term use.
What advice should be offered to patients experiencing acute alcohol withdrawal?
Offer advice on local support services (alcoholics anonymous, SMART recovery).
What is the first line treatment for Delirium Tremens?
1st line: oral lorazepam.
What is offered if symptoms of Delirium Tremens persist after first line treatment?
If symptoms persist: offer IV lorazepam or haloperidol.
What alternative treatment can be used for Delirium Tremens if symptoms persist?
Alternative: chlordiazepoxide.
What should be administered IV in cases of Delirium Tremens?
IV thiamine.
What is considered for alcohol withdrawal seizures to reduce the likelihood of future seizures?
Consider fast-acting benzodiazepine (e.g. lorazepam) to reduce the likelihood of future seizures.
