ASAM Pocket Guidelines and Patient Guide

Alcohol Withdrawal Management

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37 Initial Assessment History & physical exam results Risk of severe, complicated, OR complications of withdrawal Use risk assessment tool Use withdrawal severity assessment tool Withdrawal severity? LOC Determination Inpatient management indicated? Indicators for Inpatient Management • Severity of withdrawal • Coexisting medical or psychiatric problems • Pregnancy • Need for non-oral route of medication administration • Need for intensive or specialized counseling services • Lack of transportation for ambulatory attendance • Lack of safe housing Management See Inpatient Management See Ambulatory Management NO YES

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