psychiatry
Alcohol Withdrawal Management
CIWA-Ar scoring, benzodiazepine regimen, and Wernicke's prophylaxis
Source: NICE CG115 2010 / BNF
Step 1 of ~8
info
Alcohol Withdrawal
Last drink >6–24h ago. Features: tremor, sweating, anxiety, tachycardia, hypertension, nausea. Seizures 6–48h. Delirium tremens 48–72h (severe, with hallucinations and fever).
Related
Curated clinical cross-links plus same-class fallbacks.
Drugs
- Midazolam (IV/IM) · Benzodiazepine
- Insulin (IV Infusion — ICU Glucose Control) · Insulin — ICU Glucose Management
- Sodium Chloride 3% (Hypertonic Saline) · Hypertonic Electrolyte Solution — ICP/Hyponatraemia Management
- Flumazenil · Benzodiazepine Receptor Antagonist
- Remimazolam · Ultra-Short Acting Benzodiazepine (Procedural Sedation)
- Chlorhexidine gluconate with isopropyl alcohol · Skin antiseptic
Pathways
- Acute Behavioural Disturbance / Rapid Tranquillisation · RCEM 2022; RCPsych 2022; NICE NG10
- Self-Harm Presentation · NICE NG225 (2022)
- Capacity Assessment (Mental Capacity Act) · MCA 2005; Code of Practice
- Acute Psychosis Management · NICE CG178 2014
- Depression Management · NICE CG90 2022
- Lithium Therapy Monitoring · NICE CG185 / BNF
Decision support only. Always apply local guidelines and clinical judgement.