ALCOHOL DETOX PROTOCOL DATE: _________________ DIAGNOSIS: Acute Alcohol Intoxication ADMIT TO: អ Medical Unit អ CCU Primary អ CCU Secondary អ Psychiatry ATTENDING PHYSICIAN: _________________________________________ ALLERGIES:
____________________________________________________________________________________________________
ACTIVITIES:
អ Bedrest អ Bedrest with Commode អ BRP with assistance អ Up ad lib
DIET: ____________________________________________________________________________________________________________
អ Other: ______________________________________________________________________________________
VITAL SIGNS:
អ Every four hours អ Every eight hours
Monitor every four to eight hours with CIWA-Ar until score is less than ten for 24 hours; additional assessments as needed; monitor closely following medications MEDICATION FOR WITHDRAWAL PREVENTION (choose one of the following)
អ Chlordiazepoxide (Librium) PO 50 mg every six hours for four doses, then 25 mg every six hours for eight doses OR
អ Diazepam (Valium) PO 10 mg every six hours for four doses, then five milligrams every six hours for eight doses OR
អ Lorazepam (Ativan) PO two milligrams every six hours for four doses, then one milligram every six hours for eight doses
MEDICATION FOR WITHDRAWAL TREATMENT (when CIWA-Ar is equal to or greater than 10: choose one of the following)
អ Chlordiazepoxide (Librium) PO 50 to 100 mg every hour OR
អ Diazepam (Valium) PO 10 - 20 mg every hour OR
អ Lorazepam (Ativan) Pot three to six milligrams every hour
MEDICATIONS PRN FOR AGITATION, HALLUCINATIONS, OR IF UNRESPONSIVE TO ORAL TREATMENT (requires close monitoring and equipment and ability to start respiratory support immediately if needed; choose one of the following)
អ Haloperidol (Haldol) IM/IV two to five milligrams OR
អ Haloperidol IM/IV two to five milligrams with Lorazepam (Ativan) IV/IM two to four milligrams OR
អ Diazepam (Valium) IM/IV five milligram slowly, may repeat once after five minutes; if insufficient response, increase to
10 mg every five minutes for two doses; if still insufficient response, increase to 20 mg every five minutes
OTHER MEDICATIONS:
Thiamine 100 mg IV/IM time one dose, then 100 mg PO dailyFolic Acid one milligram PO daily
OTHER ORDERS: (cross out any unused lines)
________________________________________________________________________________________________________________
________________________________________________________________________________________________________________
________________________________________________________________________________________________________________
________________________________________________________________________________________________________________
________________________________________________________________________________________________________________
________________________________________________________________________________________________________________
Physician Signature: ____________________________________________________ Date/Time: ______________________________
ALCOHOL DETOX ORDERS ALCOHOL DETOX PROTOCOL DATE: _________________ DIAGNOSIS: Acute Alcohol Intoxication ADMIT TO: អ Medical Unit អ CCU Primary អ CCU Secondary អ Psychiatry ATTENDING PHYSICIAN: _________________________________________ ALLERGIES:
____________________________________________________________________________________________________
ACTIVITIES:
អ Bedrest អ Bedrest with Commode អ BRP with assistance អ Up ad lib
DIET: ____________________________________________________________________________________________________________
អ Other: ______________________________________________________________________________________
VITAL SIGNS:
អ Every four hours អ Every eight hours
Monitor every four to eight hours with CIWA-Ar until score is less than ten for 24 hours; additional assessments as needed; monitor closely following medications MEDICATION FOR WITHDRAWAL PREVENTION (choose one of the following)
អ Chlordiazepoxide (Librium) PO 50 mg every six hours for four doses, then 25 mg every six hours for eight doses OR
អ Diazepam (Valium) PO 10 mg every six hours for four doses, then five milligrams every six hours for eight doses OR
អ Lorazepam (Ativan) PO two milligrams every six hours for four doses, then one milligram every six hours for eight doses
MEDICATION FOR WITHDRAWAL TREATMENT (when CIWA-Ar is equal to or greater than 10: choose one of the following)
អ Chlordiazepoxide (Librium) PO 50 to 100 mg every hour OR
អ Diazepam (Valium) PO 10 - 20 mg every hour OR
អ Lorazepam (Ativan) Pot three to six milligrams every hour
MEDICATIONS PRN FOR AGITATION, HALLUCINATIONS, OR IF UNRESPONSIVE TO ORAL TREATMENT (requires close monitoring and equipment and ability to start respiratory support immediately if needed; choose one of the following)
អ Haloperidol (Haldol) IM/IV two to five milligrams OR
អ Haloperidol IM/IV two to five milligrams with Lorazepam (Ativan) IV/IM two to four milligrams OR
អ Diazepam (Valium) IM/IV five milligram slowly, may repeat once after five minutes; if insufficient response, increase to
10 mg every five minutes for two doses; if still insufficient response, increase to 20 mg every five minutes
OTHER MEDICATIONS:
Thiamine 100 mg IV/IM time one dose, then 100 mg PO dailyFolic Acid one milligram PO daily
OTHER ORDERS: (cross out any unused lines)
________________________________________________________________________________________________________________
________________________________________________________________________________________________________________
________________________________________________________________________________________________________________
________________________________________________________________________________________________________________
________________________________________________________________________________________________________________
________________________________________________________________________________________________________________
Physician Signature: ____________________________________________________ Date/Time: ______________________________
ALCOHOL DETOX ORDERS
El caso Kiobel en la Suprema Corte de los Estados Unidos de América: extraterritorialidad y responsabilidad corporativa en materia de derechos humanos El caso Kiobel v. Royal Dutch Petroleum que se encuentra siendo analizado por la Suprema Corte de Justicia de los Estados Unidos es un caso emblemático, que potencialmente puede trastocar las bases reconocidas de los derechos human
Original Research Weight Loss and Lipid Changes with Low-Energy Diets: Comparator Study of Milk-Based versus Soy-Based Liquid Meal Replacement Interventions James W. Anderson, MD and Lars H. Hoie, MD Department of Internal Medicine, University of Kentucky, Lexington, Kentucky (J.W.A.), NutriPharma, Oslo, Norway (L.H.H.) Key words: clinical trial, obesity, meal replacements, serum chole
ALCOHOL DETOX 
ALCOHOL DETOX