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학습 자료 둘러보기 →The immediate priority in alcohol withdrawal is continuous physiological monitoring to prevent progression to seizures or delirium tremens. Use the CIWA-Ar scale to score symptoms like nausea, tremor, agitation, and headache.
Assess vital signs and neurological status every 1 to 4 hours depending on the score. Pharmacological intervention with benzodiazepines is typically triggered by a CIWA-Ar score above 8 to 10 to stabilize CNS hyper-excitability.
Do not delay assessment to focus on psychosocial or educational interventions. Autonomic instability (tachycardia, hypertension) can rapidly escalate to life-threatening seizures, making physiological safety the absolute priority.
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