barcelona . spain - European Association for the Study of the Liver

BARCELONA . SPAIN
96 POSTGRADUATE COURSE SYLLABUS ALCOHOLIC LIVER DISEASE 97
APRIL 18 - 19/2012 THE INTERNATIONAL LIVER CONGRESS TM 2012
Figure 2: Metabolism of Chlordiazepoxide, Diazepam and Lorazepam.
Figure 3: The Glasgow Modified Alcohol Withdrawal Score (GMAWS)
Tremor
0) No tremor
1) On movement
2) At rest
Sweating
0) No sweat visible
1) Moist
2) Drenching sweats
Hallucination
0) Not present
1) Dissuadable
2) Not dissuadable
Orientation
0) Orientated
1) Vague, detatched
2) Disorientated, no
contact
Agitation
0) Calm
1) Anxious
2) Panicky
Score
Treatment
Score: (Do not use scoring tool if patient intoxicated,
must be at least 8 hours since last drink.)
0: Repeat Score in 2 hours (Discontinue
after scoring on 4 consecutive occasions,
except if less than 48hrs after last drink)
1 – 3: Give 10mg Diazepam:
Repeat Score in 2 hours
4 – 8: Give 20mg Diazepam:
Repeat Score in 1 hour
9 - 10: Give 20mg Diazepam:
Repeat Score in 1 hour;
discuss with medical staff
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