Alcohol Withdrawal Case Study (45 min)
Included In This Lesson
Outline
The patient is a 45-year-old male who is a “frequent flyer” in the emergency room for abdominal pain. The patient always has a high ETOH level and demands to be given 3 macaroni and cheese dishes, 2 chicken sandwiches and 2 whole milk cartons. Vital signs are as follows:
HR 103
RR 20
BP 125/67
Temp 98.6°F orally
SpO2 98%
Given that he will be admitted to the hospital for a few days without access to alcohol, what protocol medication needs to be ordered for this patient?
What question needs to be asked in regard to the patient’s alcohol intake?
The patient reports he drank 2 pints of liquor and a 6-pack of beer tonight. The patient is telling the nurse that he is serious this time and is going to quit drinking for the holidays so that his family will let him come over for Christmas. The patient is slurring his speech and has a history of trying to elope from the hospital.
What precautions does the nurse need to set up for this patient?
The patient has an IV line, labs are drawn and the patient has their meal. The blood alcohol level comes back 395 mg/dL. The nurse knows that the patient will metabolize 100 mg/dL every four hours and that the patient is no longer legally intoxicated once it falls to less than 80 mg/dL.
When will this patient likely be no longer legally intoxicated? What is the implication of this time period?
What medications will the doctor likely order for this patient to replace vitamins?
The patient has been in the hospital for 14 hours now and is no longer legally intoxicated. The vital signs have stabilized and the patient is alert and oriented x4. The patient remains hopeful to stop drinking and is asking for additional help to stay sober.
What medication could be ordered for this patient to help keep him sober?
What education does this patient need in order to be successful on this medication?
Fall 2026
Concepts Covered:
- Studying
- Substance Abuse Disorders
- Anxiety Disorders
- Central Nervous System Disorders – Brain
- Cognitive Disorders
- Eating Disorders
- Medication Administration
- Depressive Disorders
- Personality Disorders
- Psychotic Disorders
- Trauma-Stress Disorders
- Bipolar Disorders
- Developmental Considerations
- Concepts of Mental Health
- Health & Stress
- Psychological Emergencies
- Somatoform Disorders
- Communication
- Factors Influencing Community Health
- Perioperative Nursing Roles
- Emotions and Motivation
- Basics of NCLEX
- Pregnancy Risks
- Fundamentals of Emergency Nursing
- Neurologic and Cognitive Disorders
- Intraoperative Nursing
- Basics of Sociology
- Statistics
- Cardiac Disorders
- Lower GI Disorders
- Immunological Disorders
- Respiratory Emergencies
- Disorders of the Adrenal Gland
- Shock
- Hematologic Disorders
- Vascular Disorders
- Gastrointestinal Disorders
- Respiratory Disorders
- Oncology Disorders
- Noninfectious Respiratory Disorder
- Respiratory System
- Liver & Gallbladder Disorders
- Acute & Chronic Renal Disorders
- EENT Disorders
- Musculoskeletal Disorders
- Cardiovascular Disorders
- Endocrine and Metabolic Disorders
- Disorders of Pancreas
- Disorders of the Posterior Pituitary Gland
- Renal and Urinary Disorders
- Urinary Disorders
- Male Reproductive Disorders
- Urinary System
- Upper GI Disorders
- Renal Disorders
- Disorders of the Thyroid & Parathyroid Glands
- Hematologic Disorders
- Integumentary Disorders
- Integumentary Disorders
- Postpartum Care
- Newborn Complications
- EENT Disorders
- Neurological
- Central Nervous System Disorders – Spinal Cord
- Peripheral Nervous System Disorders
- Newborn Care
- Female Reproductive Disorders
- Infectious Disease Disorders
- Postpartum Complications
- Labor and Delivery
- Musculoskeletal Disorders
- Sexually Transmitted Infections
- Emergency Care of the Neurological Patient
- Musculoskeletal Trauma
- Neurological Trauma
- Infectious Respiratory Disorder
- Labor Complications
- Documentation and Communication
- Emergency Care of the Trauma Patient