2. Minor withdrawal (“the shakes”): tremulousness, anxiety, GI upset, headache, diaphoresis. 6-36 hours after last drink.
Seizures: 6-48 hours after last drink
Alcoholic hallucinosis: visual/ auditory/ tactile hallucinations, with intact orientations and stable vital signs. 12-48 hours
after last drink.
Delirium tremens: delirium, agitation, tachycardia, hypertension, fever, diaphoresis. 48-96 hours after last drink.
3. H/o ICU admissions for alcohol suggests pt may have had DTs in the past. Pt a1l0s/1o3 /a1t4 increased risk if + h/o seizures
and prolonged heavy alcohol use.
4. Labs: electrolytes, Mg, Phos. CIWA order set. “banana bag”, prn Ativan. Seizures can occur 6-48 hrs after last drink,
DTs 48-96 hrs after last drink.
