Symptoms that occur when someone stops using alcohol after a period of heavy drinking. Symptoms of alcohol withdrawal can vary widely in severity. In severe cases, the condition can be life-threatening. Symptoms may occur from two hours to four days after stopping alcohol. They may include headaches, nausea, tremors, anxiety, hallucinations and seizures. In many cases, alcohol withdrawal requires medical treatment and hospital admission. Medication may also be used to treat physical symptoms while counselling and support groups help with controlling drinking behavior. i have already done a case study on alcohol withdrawal syndrome ... giving link below please comment thank uu

1. ALCOHOL WITHDRAWAL
SYNDROME – A CASE STUDY
PRESENTED BY
MARTIN SHAJI
PHARM D

2. DEMOGRAPHIC DATA
NAME OF THE PATIENT: Mr. Hari
AGE / GENDER:32 years/male
AD.NO:5544. WARD: Psychiatric ward
DOA:1/9/2017 DOD.:9/9/2017
Provisional diagnosis: alcohol with
DRAWAL syndrome

3. CHIEF COMPLIENTS
C/O of tremor, palpitation ,headache,fever,
PERSONAL HISTORY:
weight:54 kgs.
Bowel and bladder: normal
Diet: mixed
Appetite: decreased
Sleep: disturbed
Alcohol: since 10 years

4. FAMILY HISTORY:
NOTHING SIGNIFICANT
Past medication history: nothing significant
ALERGIES: nill

5. GENERAL EXAMINATION
On general examination the patient is counscious and
coherent
PHYSICAL EXAMINATION
TEMP:102' F
PR:16 beats/ minutes
Rs:22cycles/ min
Bp: 120/80 mmhg

6. SYSTEMIC EXAMINATION
CVS: S1S2 +
RS: Clear
Abdomen: abnormal

7. CONFORMATORY
DIAGNOSIS
Based on the lab investigations.the doctor confirmed as
alcoholic withdrawal syndrome

8. LAB
INVESTIGATIONS
4.2MGS/DL UP TO 1.0 MGS/ DL
DIRECT BILIRUBIN 1.7 MGS/ DL U P TO 0.2 MGS/ DO
INDIRECT BILIRUBIN 2.5 MGS/DL 0.2TO 0.8 MGS/DL
ALBUMIN PHOSPHATE 92 I U/L 92 TO 128 IU/ L
BILIRUBIN.

9. LAB
INVESTIGATIONS
SGPT 81IU/L 0 TO 95 IU/ L
SGOT 84 IU/L 0 TO 95 IU/ L

10. SOAP NOTES
SUBJECTIVE
A male patient of 32 yrs old was
admitted in Psychiatric ward with c/o of
fever.tremor, palpitation and head ache. His
past medical history and family history was
nothing significant. Allergies also nothing
significant.in his personal history bowel and
bladder is normal .He is not using alcohol
since 2 years His appetite and sleep is normal

11. OBJECTIVE EVALUATION
On lab examination his bilirubin range is
increased ..it is 4.3mgd/dl. On his physical
examination vitals are normal. His indirect
bilirubin is 2.5 mgs/ dl. SGOT AND SGPT is
normal. Albumin phosphate is in normal
range.

12. ASSESMENT
Based on the subjective and
objective evaluation the patient was
found to be diagnosed as
Alcohol Withdrawal Syndrome

13. PLAN
ON THE DAY OF ADMISSION 1
and 2
Vitals
Tp.102 ' f.
PS.:80 beats/ mint. Rs: 16 cycles/ mint.
Treatment
T Ativan - 2mg- p/o -BD
T.valpicate- 200mg-p/o BD
T.hepato protectant - 250 mg -p/o- BD
T.rantac - 150 mg-p/o - BD

14. T Ativan - 2mg- p/o -BD
T.valpicate- 200mg-p/o_ BD
T.hepato protectant - 250 mg -p/o- BD
T.rantac - 150 mg-p/o - BD
T.BC._ 66.7 mg_ p/o- BD
T.Rheoheptin- 250 mg-p/o-bd
On the day of 4,5,6,7,8, days

15. DRUG CHART
S.no Brand
name
Generi
c
name
Indicat
ion s
Dose ROS Freque
ncy
Durati
on
1 T.ativa
n
Loraze
pam
Anti
anxiet
y
2mg P/o BD 5 days
2 T.valpi
cate
Sodiu
m
valpica
te
Anti
convul
sant
200
mg
p/o BD 5days
3 T.reph
eptin
- Hepato
protect
ant
250
mg
P/o BD 3days
4 Inj.MV
T
Multivi
tamin
Vitami
n
supple
355
mg
IV BD 2 days

16. DRUG CHART
5 Rantac Ranitid
ine
Antaci
d,and
lb
recept
or
antagi
nist
150
mg
P/o BD 4 days
6 T.BC B
combl
ex
Vitami
n
supple
ment
664
mg
P/o BD 4 days

17. PHARMACEUTICAL
INTERVENTION
The given prescription was
rational...
No DDI & ADR was found

18. PATIENT COUNSELLING
Regarding disease.
Alcoholic withdrawal syndrome is the
discontinuation or reduction of prolonged
heavy alcohol use that result in minor or
major withdrawal symptoms.
It is characterized by central nervous system
hyperactivity that occur where an alcohol is
dependent in withdrawal abruptly stops

19. REGARDING
MEDICATION
T.Ativan.
It is an anti anxiety drug take 2 mg twice daily orally for 4
days
T.VALPICATE
it is an anti convulsant drug take 200 mg twice in a day
trough orally/ parentally for 5 days
T REOHEPTIN
it a hepato protectant take 200 mgt twice in a day trough
orally/ parentally route for 3 days

20. T MVT
It is a vitamin supplement. Take 300 mg twice in a day trough iv
route
T HEPALIAL
it is a hepatic protectant.take200 mg twice in a day trough orally
,/parentally
T RANTAC
it an antacid take 150 mg through the oral route/ parenteral route

21. DISCUSSION
Alcoholic withdrawal syndrome is the discontinuation
or reduction of prolonged heavy alcohol use. That
results in minor and major withdrawal syndrome.
SIGHNS AND SYMPTOMS
Tachycardia
Loss of appetite
Shaking
Sweating
Convulsions
Hypertension

22. PATHOPHYSIOLOG
Y
Not well understand
Alcohol causes CNS
depression
Inhibit dopaminergic and
adrenergic receptor
GABA Like effects
Cessation results in brain
hyper excitability

23. NON PHARMACOLOGICAL
TREATMENT
Encourage healthy life style
Reduction of weight
Diatary sodium reduction
Moderate alcohol consumption
Strict adhere to medication
Take exercises
Drink plenty of water
Avoid OTC medication
Healthy diet

24. THANK YOU ...https://www.slideshare.net/martinshaji/a-case-study-on-
alcohol-withdrawal-syndrome