Management

The initial treatment goal in patients with alcohol withdrawal delirium is control of agitation. Rapid control of agitation reduces the incidence of subsequent adverse events.

Thorough medical evaluation is required in order to identify complications of alcohol withdrawal delirium (such as electrolyte disturbances) and concomitant medical conditions. Close monitoring and supervision (preferably one-to-one) may be needed to ensure safety of the patient from harm to self or others due to wandering, absconding and falls. Vital signs (including pulse, blood pressure, temperature and oximetry), hydration and nutrition should be monitored frequently. Patient should be managed in a quiet room with minimal sensory stimulation. Good lighting and environmental cues (such as a clock and/or calendar) may reduce disorientation.