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  1. Acute withdrawal syndrome (AWS) is a set of physical and psychological symptoms that most commonly begin within 6-24hours after the last drink however severe symptoms can manifest up to 7 days.

  2. 40% of patients who are alcohol dependent develop withdrawal symptoms and 5% develop delirium tremens. Withdrawal symptoms include generalized hyperactivity, retching, tachycardia, hypertension, pyrexia, tremor, anxiety and sweating. Symptoms peak between 10 - 30 hours and subside by 40 - 50 hours.

  3. The signs and symptoms of alcohol withdrawal may appear anywhere from six hours to a few days after someone last has an alcoholic drink. These usually include at least two of the following: • Tremors • AnxietyNauseaVomitingHeadacheAn increased heart rate • Sweating • Irritability • Confusion • Insomnia ...

  4. What withdrawal symptoms may I notice? The most common symptoms of withdrawal are sweating, shaking, feeling sick and anxious. These can typically last around a week. You may not experience all of them. Occasionally, more serious symptoms· can occur, which need medical help, but

  5. Withdrawal symptoms typically start 6-8 hours after the last drink, peak within 24 hours and subside by 5 days. The risk of fits is reduced after the first 48 hours. We know that, the more times you go through alcohol withdrawal, the more serious your symptoms get each time.

  6. Alcohol withdrawal In patients dependent on alcohol, a drop in blood-alcohol concentration may precipitate a withdrawal syndrome. This can occur as early as 6 hours after the last drink. Withdrawal Symptoms: • Mild - tremor, agitation, nausea, vomiting, disorientation and anxiety.

  7. MANAGEMENT OF ALCOHOL WITHDRAWAL Ensure patients are nursed in an adequately lit, quiet area . SEVERE SYMPTOMS eg confusion, visual or auditory hallucinations, irrational thoughts/fears, bizarre, aggressive or unco-operative behaviour. MODERATE SYMPTOMS eg tachycardia, nausea, tremor, sweats, anxious, headache, flu-like symptoms, seizures

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