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학습 자료 둘러보기 →A new-onset tonic-clonic seizure during withdrawal signals a progression to severe withdrawal syndrome. The priority is airway protection, seizure termination, and prevention of status epilepticus.
Administer benzodiazepines (e.g., lorazepam or diazepam) immediately per protocol. This targets the underlying GABA deficiency and halts glutamate-mediated excitotoxicity.
Seizure activity is the highest priority over autonomic signs like 160/95 mmHg BP or tachycardia. Uncontrolled seizures can rapidly lead to delirium tremens, carrying up to a 5% mortality rate.
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