Alcohol Withdrawal

Question 1

When does alcohol withdrawal occur.

Answer 1

10-72 hours after the last drink.

Question 2

What are the signs of alcohol withdrawal. (6)

Answer 2

Raised HR. 
Low BP. 
Tremor. 
Confusion. 
Fits. 
Hallucinations (delirium tremens).

Question 3

What may be the manifestations of delirium tremens. (2)

Answer 3

May be visual or tactile.

Question 4

When should you suspect alcohol withdrawal.

Answer 4

In any new (

Question 5

What is the mortality for alcohol withdrawal.

Answer 5

5-15%.

Question 6

What is the treatment for delirium tremens.

Answer 6

Benzodiazepines.

Question 7

What are the psychological withdrawal symptoms often seen in alcoholics. (3)

Answer 7

Restlessness.
Anxiety.
Panic attacks.

Question 8

What are the autonomic symptoms often seen in alcoholics. (5)

Answer 8

Tachycardia. 
Sweating. 
Pupil dilatation. 
Nausea. 
Vomiting.

Question 9

What are the features of delirium tremens. (4)

Answer 9

Agitation.
Hallucinations.
Illusions.
Delusions.

Question 10

What other features are the of alcohol withdrawal.

Answer 10

Seizures.

Question 11

What are seizures due to alcohol withdrawal often referred to as.

Answer 11

Rum fits.

Question 12

What is the treatment for alcohol withdrawal. (5)

Answer 12

Admit to hospital.
Monitor BP and TRP/4h (beware a low or drop in BP).
For the 1st 3 days, give chlrdiazepoxide, weaning over 7-10days.
Alternatively give diazepam.
You may also need to give vitamins.