Adult ETOH withdrawl

Question 1

Adult ETOH Withdrawal - S/S of alcohol withdrawal

Answer 1

Termors
Irritability
Insomnia
N/V
Hallucinations
Delusions 
Seizures

Question 2

Adult ETOH Withdrawal - Seizure?

Answer 2

Refer to seizure protocol

Question 3

Adult ETOH Withdrawal - Combative or agressive?

Answer 3

Combative patient protocol

Question 4

Adult ETOH Withdrawal - Signs of tremor, agitation, hallucinations or confusion treatment

Answer 4

Ativan 1 mg SL q 5 min to max of 4 mg

Question 5

Adult ETOH Withdrawal - Suspected dehydration treatment

Answer 5

20 ml/kg bolus x 1

Question 6

Adult ETOH Withdrawal - N/V?

Answer 6

Treat with appropriate protocol

Question 7

Adult ETOH Withdrawal - Ativan indications

Answer 7

Alcohol withdrawal

Question 8

Adult ETOH Withdrawal - Ativan dose

Answer 8

LORazepam 1 mg SL q 5 min prn to a max of 4 mg

Question 9

Adult ETOH Withdrawal - Ativan EMS contraindications

Answer 9

Hypersensitivity to benzodiazepines

Acute narrow-angle glaucoma

Question 10

Adult ETOH Withdrawal - Minor ETOH withdrawal onset

Answer 10

Onset between 12-18 hours, peaks 24-48 hours

Question 11

Adult ETOH Withdrawal - S/S of minor withdrawal

Answer 11

Temperature > 38.5°C
Systolic BP > 160 mmHg
Diastolic BP > 110 mmHg
Pulse > 110 bpm
Nausea and vomiting
Tremors
Diaphoresis

Question 12

Adult ETOH Withdrawal - Major ETOH withdrawal onset & duration

Answer 12

Begins within 3 to 5 days,
Peaking on days 4 and 5
May persist 3 days to 7 weeks