Admissions due to alcohol withdrawal has been increasing substantially after COVID19. Alcohol withdrawal patient can seize anytime since the last drink as seen in Table 17.1. Refer Table 17.2 for different medications used and be familiarize with lorazepam fixed dose schedule for inpatient detox (Table 17.3). If you suspect Wernicke’s encephalopathy give thiamine high dose (Table 17.5). Opioid overuse presents with triad of respiratory depression, miosis and stupor (Table 17.6)

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Substance Abuse

  • Masahiro J Morikawa

摘要

Admissions due to alcohol withdrawal has been increasing substantially after COVID19. Alcohol withdrawal patient can seize anytime since the last drink as seen in Table 17.1. Refer Table 17.2 for different medications used and be familiarize with lorazepam fixed dose schedule for inpatient detox (Table 17.3). If you suspect Wernicke’s encephalopathy give thiamine high dose (Table 17.5). Opioid overuse presents with triad of respiratory depression, miosis and stupor (Table 17.6)