Managing alcohol withdrawal in hospitalized patients

Elliott, Dolores Y.; Geyer, Christopher B.; Lionetti, Thomas; Doty, Linda

doi:10.1097/01.ccn.0000429387.18097.a9

Cited by 3 publications

(4 citation statements)

References 14 publications

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“…Delirium tremens occur in approximately 5% of individuals experiencing AWS and usually appears two to four days after the cessation of alcohol (Myrick & Anton, 1998). Elliot, Geyer, Lionetti, and Doty (2012) concluded that about 5% of patients with DT die as autonomic hyperactivity may lead to cardiovascular collapse, making DT's a medical emergency.…”

Section: Awsmentioning

confidence: 99%

Managing Hospitalized Adults with Alcohol Dependence

Darling

2015

Preprint

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<p>Alcohol withdrawal is a common clinical condition with a variety of presentations, complications and morbidities. According to the National Institute on Alcohol Abuse and Alcoholism (NIAAA), an estimated 17 million Americans, or one in every 12 adults, have an alcohol use disorder (AUD). An unanticipated hospital admission can precipitate alcohol withdrawal syndrome that can develop six hours after the cessation of alcohol. Early assessment of potential alcohol dependence, as well as symptoms of withdrawal and utilizing the CIWA tool, is important in identifying and managing this at risk population and reducing the potential incidence of complications. The purpose of this project was to develop and implement an educational program for nurses targeted at management of hospitalized adults with alcohol withdrawal through assessment skills and utilizing the CIWA protocol. The goal was to increase the nurses’ knowledge of assessing, monitoring and treating this patient population. A needs assessment was conducted and an online education program was developed based on a review of the literature and clinical experience. The project included a pre and post survey surrounding the education module, followed by a program evaluation. Results indicated higher scores on the post-survey suggesting an increase in nurses’ knowledge, awareness and skills related to managing AWS in hospitalized adults utilizing an online education program. The APRN is in the position to improve nursing practice through evidence-based best practice, an important element in improving patient outcomes and safety. </p>

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Section: Awsmentioning

confidence: 99%

Managing Hospitalized Adults with Alcohol Dependence

Darling

2015

Preprint

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“…38 An estimated 18 million persons in the United States have an alcohol use disorder. 38 An estimated 18 million persons in the United States have an alcohol use disorder.…”

Section: Common Patient and Family Responses To The Intensive Care Unitmentioning

confidence: 99%

“…38 Interventions to prevent or minimize AWS include hydration, electrolyte replacement, adequate nutrition, thiamine, glucose, reality orientation, and the use of benzodiazepines.…”

Section: Common Patient and Family Responses To The Intensive Care Unitmentioning

confidence: 99%

Acute Care Setting

West¹

2014

Acute Care Handbook for Physical Therapists

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“…In addition, 7.4% of these individuals considered themselves heavy users of alcohol, and yet only 3.8% received treatment—trends that are comparable to national averages ( Substance Abuse and Mental Health Services Administration, 2013 ). Throughout the nation, the number of adults admitted to a hospital with an alcohol use disorder increased significantly from 2006 to 2010 ( National Institute on Alcohol Abuse and Alcoholism, 2013 ), translating to approximately one in five admitted adult patients ( Elliott, Geyer, Lionetti, & Doty, 2013 ).…”

mentioning

confidence: 99%

Improving Nursing Knowledge of Alcohol Withdrawal

Berl¹,

Collins²,

Melson³

et al. 2015

Journal for Nurses in Professional Development

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Christiana Care Health System implemented a Care Management Guideline for Alcohol Withdrawal Symptom Management, which provided direction for inpatient screening for alcohol withdrawal risk, assessment, and treatment. Nurses educated on its use expressed confusion with the use of the assessment tools, pharmacokinetics, and pathophysiology of alcohol withdrawal and delirium tremens. Reeducation was provided by nursing professional development specialists. Pre- and postsurveys revealed that nurses were more confident in caring for patients with alcohol withdrawal.(See CE Video, Supplemental Digital Content 1, http://links.lww.com/JNPD/A9)

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Managing alcohol withdrawal in hospitalized patients

Cited by 3 publications

References 14 publications

Managing Hospitalized Adults with Alcohol Dependence

Managing Hospitalized Adults with Alcohol Dependence

Acute Care Setting

Improving Nursing Knowledge of Alcohol Withdrawal

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