What are the mild to moderate signs of etoh withdrawal?
• Mild to moderate signs of ETOH withdrawal includes feeling anxious, nervous,
irritability, depression, insomnia, mild tremors, nausea and vomiting.
2. What are severe signs- of etoh withdrawal?
• Some severe signs of ETOH withdrawal include confusion, racing heart, high
blood pressure, fever, and heavy sweating.
3. What are Delirium Tremors?
• This is also known as Delirium Tremens and this is considered the most severe
form of ETOH withdrawal and it manifests as altered mental status. This presents
as confusion and sympathetic overdrive, which can progress into a cardiovascular
collapse. Early signs and symptoms includes itchy back of the head and/or neck,
tingling or numbness.
4. Why Should this not be treated in a non medical facility? - seizures and death can
occur without higher doses of medication and iv fluids and close observation of
monitoring of things like seizures and cardiac status.
Patients can receive better monitoring for symptoms during the 24 hours of
detox/withdrawal. Hospitals are equipped better than a non-medical facility. For
example, by being in a medical facility, the patient can be easily observed by medical
staff around the clock. Where as at home, having someone available to just monitor is
difficult and having someone completely knowledgeable about signs and symptoms is
essential, during the first 24 hours of an ETOH withdrawal/detox.
5. What are the dangers of mixing herion with other drugs IV?
• The dangers of mixing controlled substances faces the possibility of overdosing
due to not knowing how the drug-drug interactions between the substances. For
example, heroin and cocaine have opposing effects on the central nervous
system; heroin depresses it and cocaine stimulates it.
6. What are the medications we use for withdrawal of Herion?
▪ Methadone
▪ Clonidine
▪ Buprenorphine
▪ Naloxone
▪ Suboxone
▪ Naltrexone
