Treatment of alcoholism

the treatment of alcoholism is the concern of friends who often socialize outside. Friends with alcoholism can choose to stay in bed or take coffee or warm tea with them to drink. Friends who are not in a serious situation will recover by themselves. In addition, also need to pay attention to is alcoholism friends should pay attention to the occurrence of respiratory failure.

in addition, from the perspective of the treatment of alcoholism, friends with alcoholism also need to give psychological improvement and treatment, adequate nutrition and diet regulation. The manifestation of alcoholism is that the skin is flushed, and the capillaries are ruptured, resulting in chronic diarrhea.

treatment of alcoholism: 6667

(1) treatment of acute poisoning 6667

1. Mild

due to rapid absorption of ethanol, generally without special treatment, gastric lavage is of little significance, can make it bed rest, warm, drink strong tea or coffee, can recover on its own.

2. Severe poisoning

. ① gastric lavage with warm water or 1% – 2% soda water. ② Sleepers can use stimulants such as caffeine 0.5g or Nikethamide 0.375g intramuscular or subcutaneous injection, once every 1-2 hours. ③ 100ml of 50% glucose injection and 20u of common insulin can be slowly injected intravenously. At the same time, 100mg of vitamin B1 and B6 and 100mg of nicotinic acid can be injected intramuscularly to accelerate the oxidation of ethanol and make the patient awake. ④ If the patient is in the excitement period, when he is manifesting restlessness, he usually does not need sedatives, because the natural development of drunkenness is the process of turning the central nervous system from excitement to inhibition. If sedatives are used rashly in the excitement period, it is likely to lead to the aggravation of drowsiness inhibition. Therefore, even if severe manic disturbance requires sedation, great care must be taken. A small dose of paraformaldehyde (2-5ml) or diazepam 5mg can be injected intramuscularly. ⑤ Naloxone hydrochloride has a good effect on alcoholism, promoting recovery, anti shock and quick onset. Naloxone is a specific antagonist of opioid substance. Usage: naloxone 0.4-0.8mg is injected intramuscularly or intravenously, the blood concentration reaches the peak 1-2min after intravenous injection, and the clearance half-life is 1 hour. If necessary, repeat the application for about 1 hour until the patient wakes up. Patients with hypertension and cardiac insufficiency should be cautious. ⑥ Severe coma patients can use hemodialysis, the effect is sure. ⑦ Symptomatic treatment: pay attention to rehydration, correct fluid loss and acid-base imbalance, correct shock and rescue respiratory failure.

(2) treatment of chronic alcoholism

(1) abstinence.

② supplement vitamins, especially B vitamins and vitamin C.

③ symptomatic treatment: including the protection of heart, brain and liver.

4. In alcohol dependent withdrawal syndrome

, benzodiazepine sedatives with longer half-life (such as diazepam and chlorpheniramine) are often used. They have cross tolerance with alcohol and are replaced by benzodiazepine sedatives, and the decrease ends around 2 weeks. If the liver function has been obviously damaged, the dosage should be reduced accordingly. Clonidine 0.2mg, 3 times a day, is also effective. Haloperidol 2mg, 3 times a day can be used for mental symptoms.

abstinence sulfur 0.25, once a day, for 6 weeks. Abstinence sulfur inhibits liver aldehyde dehydrogenase and dopamine hydroxylase, resulting in increased blood acetaldehyde content, redness, chest tightness, discomfort, nausea, vomiting and other reactions, making patients reluctant to drink again. Raw sulfonic acid is a sulfur-containing amino acid. It can be used before and after alcohol withdrawal. 1g, 3 times / D for 7 days.

in the treatment of alcoholism, the most important thing is to control drinking. If there is alcoholism, then, when we treat abstinence syndrome, we must give patients psychological comprehensive treatment, supplement nutrition and vitamins, and treat tissue and organ damage and complications caused by chronic alcoholism.

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