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학습 자료 둘러보기 →A patient with severe alcohol withdrawal exhibiting hypertension, tachycardia, and visual hallucinations is at high risk for generalized tonic-clonic seizures. The priority intervention is to monitor for seizure activity and maintain seizure precautions.
Seizures typically occur 12-48 hours after the last drink due to unopposed glutamate excitability. Immediate threats include airway compromise and physical injury, making this the highest priority per the ABC framework.
Do not delay seizure precautions for other therapies. Administering thiamine is essential but secondary to ensuring immediate safety. A seizure in this state can rapidly lead to hypoxia and aspiration.
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