{"id":478,"date":"2017-03-26T14:34:01","date_gmt":"2017-03-26T14:34:01","guid":{"rendered":"http:\/\/papergp.com\/index.php\/drug-and-alcohol-misuse\/alcohol-misuse\/"},"modified":"2023-01-24T11:25:26","modified_gmt":"2023-01-24T11:25:26","slug":"alcohol-misuse","status":"publish","type":"page","link":"https:\/\/papergp.com\/index.php\/mental-health\/alcohol-misuse\/","title":{"rendered":"Alcohol misuse"},"content":{"rendered":"<div class=\"content-box-blue\">\n<h4><strong>Data gathering<\/strong><\/h4>\n<ul>\n<li>Red flags &#8211; seizures, tremors, DSH, haematemesis<\/li>\n<li>Others &#8211; cut down, others noticed, guilty, morning drink, mood, abdo pain, yellow skin, increasing amounts, neglecting things, driving, hallucinations<\/li>\n<li>Examine &#8211; BP, abdo, tremor<\/li>\n<\/ul>\n<\/div>\n<p>&nbsp;<\/p>\n<div class=\"content-box-blue\">\n<h4><strong>Clinical management<\/strong><\/h4>\n<ul>\n<li>Investigations\n<ul>\n<li>Bloods &#8211; FBC, B12, folate, LFTs inc GGT<\/li>\n<li>Liver USS<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<ul>\n<li>Treatment\n<ul>\n<li>Oral vitamins &#8211; vit B co-strong 30mg OD, thiamine 200mg OD<\/li>\n<li>Drug and alcohol service\n<ul>\n<li>supervision for detox<\/li>\n<li>psychological support<\/li>\n<li>medications to help calm down<\/li>\n<li>specific medications &#8211; reduce cravings<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<ul>\n<li>Follow-up \/ Safety net\n<ul>\n<li>Refer if &#8211; signs of DT (tremor\/confusion\/fits\/hallucinatons)<\/li>\n<li>DVLA<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>NB:<\/p>\n<ul>\n<li>Wernickes &#8211; ataxia, opthalmoplegia, confusion<\/li>\n<li>Korsakoff &#8211; chronic Wernickes &#8211; amnesia, confabulation<\/li>\n<\/ul>\n<\/div>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Data gathering Red flags &#8211; seizures, tremors, DSH, haematemesis Others &#8211; cut down, others noticed, guilty, morning drink, mood, abdo pain, yellow skin, increasing amounts, neglecting things, driving, hallucinations Examine &#8211; BP, abdo, tremor &nbsp; Clinical management Investigations Bloods &#8211; FBC, B12, folate, LFTs inc GGT Liver USS Treatment Oral vitamins &#8211; vit B co-strong &hellip; <a href=\"https:\/\/papergp.com\/index.php\/mental-health\/alcohol-misuse\/\" class=\"more-link\">Continue reading <span class=\"screen-reader-text\">Alcohol misuse<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"parent":264,"menu_order":127,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-478","page","type-page","status-publish","hentry"],"jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/pages\/478","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/comments?post=478"}],"version-history":[{"count":4,"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/pages\/478\/revisions"}],"predecessor-version":[{"id":2016,"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/pages\/478\/revisions\/2016"}],"up":[{"embeddable":true,"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/pages\/264"}],"wp:attachment":[{"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/media?parent=478"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}