alcohol withdrawal observation chart- n c e t a（酒精戒断观察图表- n c e t）（7页）.docVIP

Alcohol Withdrawal Observation Chart (1) Surname: Date of Birth: Sex: Age: Weight: When alcohol withdrawal is predicted, it is appropriate to load the patient with diazepam prior to significant withdrawal becoming evident. However, at times alcohol withdrawal may complicate an admission for another reason (e.g. surgery, pneumonia etc) and the first indication is when alcohol withdrawal becomes evident and requires treatment. Advice re appropriate protocols is provided on page 4. Average daily alcohol consumption during the past week grams ( = standard drinks x 10) Withdrawal is unlikely if alcohol consumption 80 grams daily Date and time of last drink Date: Time: Hours: Onset of alcohol withdrawal usually 6-24 hours from last drink although may be delayed Breath alcohol reading grams percent at hours Diazepam should not be given until the breath alcohol reading is (0.1% Notify a doctor if: Previous withdrawal seizures Delirium tremens (disorientation, confusion, hallucinations, automatic hypoactivity e.g. sweating, fever, tachycardia, dilated pupils at ≥48 hours) Recent benzodiazepine use (this may affect the expression of alcohol withdrawal symptoms) Recent/suspected head injury Patient not easily rousable to speech Respiratory disease Oxygen saturation 94% (on air) Respiratory rate 8 or 25 breaths per minute Severe liver disease Other medications especially CNS depressants (e.g. opioids) are prescribed/taken Environment Low stimulation, reassurance, reorientation and even lighting are important factors in observing a patient accurately. Care by the same nurse for each shift is desirable and reduces likelihood of complications. Thiamine (to prevent acute Wernicke’s Syndrome) must be given before any form of glucose loading Moderate-Severe withdrawal predicted (determine at risk of Wernicke’s): thiamine 100mg IM tds for 3 days then oral thiamine 100 mg per