Screening a Trauma Patient for Risk of Delirium Tremens Using the AST and MCV

Purpose: To screen a trauma patient for risk of delirium tremens using serum AST and erythrocyte MCV based on the study of Findley et al.

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Evaluation

Are you evaluating a trauma patient with evidence of alcohol use on admission?

Yes

Serum AST

Upper limit of reference range for AST

MCV

Upper limit of reference range for MCV

Results

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Results Interpretation and Description References Next Steps

Data complete?

Evaluation appropriate?

Number of risk factors present

Risk of developing delirium tremens

Should you be monitoring the patient for confusion, sweating, hallucinations, restlessness, tremor and/or tachycardia?

Caution: A qualified health practitioner should verify all results.
Keep patient data confidential and comply with all legal requirements.

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Risk Factors
- Risk Factors Delirium Tremens Developing in Intoxicated Trauma Patient
Clinical Diagnosis, Including Family History For Genetics
Other Testing
- Subjective Scoring Index Opiate Withdrawal during Naloxone Therapy
- Scoring System Neonatal Abstinence Syndrome
Severity, Prognosis, Stage

Therapy

Selection
- Risk Factors Delirium Tremens Developing in Intoxicated Trauma Patient
- Clinical Opiate Withdrawal Scale (COWS)
Failure Handling And Therapy Escalation
- Clinical Opiate Withdrawal Scale (COWS)

Monitoring

Response To Therapy
- Clinical Opiate Withdrawal Scale (COWS)
Adverse Effects
Compliance/adherence
- Clinical Opiate Withdrawal Scale (COWS)
Disease Progression
- Clinical Opiate Withdrawal Scale (COWS)
Complication Detection
- Clinical Features of Gabapentin Withdrawal Syndrome

Specialty

Toxicology
Emergency Medicine
Critical Care

Objective

risk factors

ICD-10

F10 - Mental and behavioural disorders due to use of alcohol

Info

Purpose: To screen a trauma patient for risk of delirium tremens using serum AST and erythrocyte MCV based on the study of Findley et al.

Specialty: Toxicology, Emergency Medicine, Critical Care

Objective: risk factors

ICD-10: F10,

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