Alcohol withdrawalal

Alcohol withdrawalal，酒精戒断诊疗思维导图笔记，全英文版本，分享给大家使用，喜欢请点赞。

Alcohol withdrawal

• Dignosis
  • Alcohol withdrawal symptoms
  • Alcohol withdrawal seizures
    • BZs
      • If no response, Anticonvulsants
  • Alcohol-induced psychotic disorder
    • High-dose BZs + Treat delirium
  • Alcohol withdrawal delirium
    • BZs + Antipsychotics
• Laboratory
  • Routine: CBC, CMP, Blood gas analysis, Blood alcohol concentration
  • Alternative diagnosis: Sepsis, delirium, neuroimaging, toxicological screeninng
  • Screen depression (PHQ-2) and suicidal ideation (SAD PERSONS scale)
• CIWA-Ar
  • <10
    • No High risk or PAWSS <4
      • Outpatient, Anticonvulsants
    • High risk or PAWSS≥4
      • Inpatient, BZs (Single-dose regimen)
  • 10-18
    • No High risk or PAWSS <4
      • Inpatient, BZs (Symptom-triggered regimen: depends symptoms)
    • High risk or PAWSS≥4
      • Inpatient, BZs (Fixed-schedule regimen: taper down)
  • ≥19
    • No High risk or PAWSS <4
      • Inpatient, BZs (Front-loading dose: High dose + Symptom-triggered regimen)
    • High risk or PAWSS≥4
      • Inpatient, BZs (Front-loading dose: High dose + Fixed-schedule regimen)
• Supportive care
  • IV fluids, thiamine, folate, multivitamins, electrolyte repletion, treatment of hypoglycemia