Alcohol

Question 1

CIWA for alcohol withdrawal

Answer 1

• quantify severity of withdrawal syndrome, monitor progress and medicate pts
• N/V, HA
• Tremors
• Paroxysmal sweats
• Anxiety
• Agitation
• Tactile, auditory & visual disturbances
• Orientation

Question 2

Eval alcoholic patient

Answer 2

• Alk phos + elevated GGT suggests liver orgin
• AST/ALT ratio 2:1 and elevated GGT helps confirm alcoholic etiology
• GGT marker of occult alcohol use