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A multi-centre survey of inpatient pharmacological management strategies for alcohol withdrawal by D. Ward, N. Murch, G. Agarwal, and D. Bell QJM Volume.

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Presentation on theme: "A multi-centre survey of inpatient pharmacological management strategies for alcohol withdrawal by D. Ward, N. Murch, G. Agarwal, and D. Bell QJM Volume."— Presentation transcript:

1 A multi-centre survey of inpatient pharmacological management strategies for alcohol withdrawal by D. Ward, N. Murch, G. Agarwal, and D. Bell QJM Volume 102(11):773-780 October 23, 2009 © The Author 2009. Published by Oxford University Press on behalf of the Association of Physicians. All rights reserved. For Permissions, please email: journals.permissions@oxfordjournals.org

2 Doses of vitamins recommended in the RCP report: alcohol—can the NHS afford it?2 (Courtesy of K Moriarty, Royal Bolton Hospital, 2000). aPatients with significant weight loss, poor diet, signs of malnutrition. bThiamine should be discontinued on completion of the chlordiazepoxide detoxification regimen unless there is still evidence of cognitive impairment. D. Ward et al. QJM 2009;102:773-780 © The Author 2009. Published by Oxford University Press on behalf of the Association of Physicians. All rights reserved. For Permissions, please email: journals.permissions@oxfordjournals.org

3 Clinical Institute Withdrawal Assessment of Alcohol scale, revised (CIWA-Ar). D. Ward et al. QJM 2009;102:773-780 © The Author 2009. Published by Oxford University Press on behalf of the Association of Physicians. All rights reserved. For Permissions, please email: journals.permissions@oxfordjournals.org

4 Starting doses of Pabrinex prescribed for the treatment of neuro-psychiatric syndromes, or a presumptive diagnosis of neuro-psychiatric syndromes, in differing circumstances (the black bar represents the recommended dose). D. Ward et al. QJM 2009;102:773-780 © The Author 2009. Published by Oxford University Press on behalf of the Association of Physicians. All rights reserved. For Permissions, please email: journals.permissions@oxfordjournals.org

5 Doses of oral thiamine recommended in surveyed protocols (the black bar represents the recommended dose). D. Ward et al. QJM 2009;102:773-780 © The Author 2009. Published by Oxford University Press on behalf of the Association of Physicians. All rights reserved. For Permissions, please email: journals.permissions@oxfordjournals.org

6 Proportions of alcohol-related services available. D. Ward et al. QJM 2009;102:773-780 © The Author 2009. Published by Oxford University Press on behalf of the Association of Physicians. All rights reserved. For Permissions, please email: journals.permissions@oxfordjournals.org

7 Suggested modification of the RCP Guidelines. D. Ward et al. QJM 2009;102:773-780 © The Author 2009. Published by Oxford University Press on behalf of the Association of Physicians. All rights reserved. For Permissions, please email: journals.permissions@oxfordjournals.org

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