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She has a past history of poly drug use and last used 12 months ago
On day 2 of her admission, Sally becomes anxious and scores 6 on the AWS
and 16 on the CIWAR-Ar
On day 4 she is confused and disorientated scoring 6 -9 on the AWS and 16-20
on the CIWA-Ar. She seems to be hallucinating and has received no sedation
Alcohol withdrawal case study (2)
Questions – in small or large group(s)
1. How will you manage her nursing care day 2 & 4?
4. Where could you find further information and support regarding alcohol
withdrawal?
2. Escalation into delirium tremens, possible self harm, other causes for symptoms
that may have not been diagnosed (see Chapter 9.1)
3. Diazepam: either oral or IV if too disorientated to take orally. (Refer to NSW Drug and Alcohol
Withdrawal Clinical Practice Guidelines NSW Health 2007 http://www.health.nsw.gov.au/policies/gl/2008/GL2008_011.html)
4. Local Drug & Alcohol Services, NSW D&A Specialist Advisory Service (DASAS)
1800 023 687 (24hr) & the Withdrawal Guidelines as above