Alcohol withdrawl symptoms may vary from mild to moderate and
then serious.the symptoms of alcohol withdrawl usually develops
when individuals who addicted to alcohol stop it immediately. the
symptoms usually involves generalized seizure, tremors,
hallucinations, excessive sweating etc. Oral
benzodiazepines are the best used drugs for preventing a severe
alcohol withdrawal syndrome, particularly the risk of seizures.
Usually given for a maximum of 7 days, lorazepam is the drug of
choice.
Managemnet of
restless combative patient
- Symptom control and supportive management
- use of benzodiazepines to manage agitation and
restlesness.
- Correction of metabolic derangements.
- Clinical reassessment to identify the symptoms.
- Nutritional suppliments to overcome vitamin B6 and B12
deficiency.
- Iv fluid suppliments.
- Multivitamins containing or folate should be given routinely,
and deficiencies of glucose, potassium, magnesium, and phosphate
should be corrected.
- Keeping the patient in NPO status during the time of extreme
agitation to avoid aspiration.
- Treatment of psychomotor agitation with benzodiazepines.
- Keep the side rails up to prevent fall and injury.
- Restrain the patient without harming him, in case of severe
agitation.
- Provide pdychological support.
- health educate the client
Therapeutic
effect of lorazepam
Lorazepam comes under the category of benzodiazepines. The drug
act up on the central nervous system to produce a calm effect. This
drug works by enhancing the effects of a certain natural chemicals
such as Gamma Amino Butyric Acid. the drug cause central nervous
system depression also.The drug also work as a norcotics. The drug
is used to manage anxiety and agitation and acute panic attacks.the
misuse or over dose can cause addiction, death and overdose.
Resources
available to support alcohol withdrawl patients
- Alcohol
anonymous groups: A programme run by the people
whor recovered from Alcoholism. This group will teach the affected
individual, how to stay away from alcoholism.they provide
encouragement to withdraw from alcoholism. they participate in face
to face chat, small get togethering inorder to promote
wellness.
- Deaddiction
help line services
- Inpatient
Rehabilitation services and centers: They provide
inpatient rehabilitation services.
- Behavioural
therapy centers: These therapies encourage
participants to change the way they react to stressful external
stimuli by promoting healthy ways of coping.
- Health
education
- We are with
you: This is a UK-wide treatment agency that helps
individuals, families and communities manage the effects of drug
and alcohol misuse.
- Drinkline: It
is the national alcohol helpline. If people worried about
their own or someone else's drinking, they can call this
free helpline in complete confidence.