Admit to: Alcohol Treatment Unit
Diagnosis: Alcohol Dependence
Legal Status: Voluntary
Allergies: No known allergies
Vitals: q shift x 3 days, then q day if stable
Activity: Restrict to unit
Precautions: Seizure and withdrawal precautions, Diet: Regular with 1 can of Ensure with each meal
Labs: Chem 20, CBC with diff, UA with toxicology screen, urine pregnancy test, RPR, thyroid function.
Folate 1 mg po qd.
Thiamine 100 mg Im qd x 3 days, then 100 mg po qd.
Multivitamin 1 po qd.
Lorazepam (Ativan) 2 mg po tid x 2 days, then 2 mg bid x 2 days, then 1 mg po bid x 2 days then discontinue.
Lorazepam (Ativan) 2 mg po q 4 hours prn alcohol withdrawal symptoms (pulse > 100, systolic BP > 160, diastolic BP > 100)(not to exceed 14 mg/24 hour (routine + prn).
Zolpidem (Ambien) 10 mg po qhs prn insomnia.
Tylenol 650 mg po q 4 hours prn pain or fever.
Milk of magnesia 30 cc po q 12 hours prn constipation.
Mylanta 30 cc po q 4 hours prn dyspepsia.
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