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학습 자료 둘러보기 →The highest priority in alcohol withdrawal is identifying the progression to delirium tremens, a medical emergency. The hallmark cluster includes severe autonomic instability (fever >100.4°F/38°C, tachycardia, hypertension, diaphoresis) and perceptual disturbances (visual or tactile hallucinations like formication).
Use a standardized tool like the CIWA-Ar scale for objective assessment. A score >15 indicates severe withdrawal requiring intensive monitoring and pharmacological intervention, typically with benzodiazepines.
A new fever in a patient with AWS is a red flag for DTs but also necessitates ruling out underlying infection, which can be a trigger. Do not dismiss hyperthermia as solely autonomic; assess for sources of infection while initiating DTs protocol.
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