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학습 자료 둘러보기 →The highest priority in severe withdrawal with agitation, tachycardia, and hallucinations is to monitor for progression to delirium tremens and seizure activity. These are life-threatening medical emergencies driven by CNS hyperexcitation.
Use a validated tool like the CIWA-Ar scale to assess symptom severity frequently. A score above 15 indicates severe withdrawal requiring intensive monitoring and pharmacological intervention, typically with benzodiazepines.
Do not delay monitoring to focus on psychosocial discussions, nutrition, or education. The client's physiological instability and altered mental status make these interventions unsafe and ineffective during the acute phase.
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