Stahl prescription book outlines prescription techniques for various diseases and disorders. This study endeavors to evaluate for alcoholic withdrawal patients. The most essential and fundamental part is the determination of the patient’s background. Why is this crucial? Patient’s background information will be valuable in determining whether the behavior is hereditary or not, how long the patient has been under the influence, behaviors under the influence, and effects from withdrawals among others. Guided by the Stahl book guide, some of the most valuable background information sought from the patient purported to be suffering from alcoholic withdrawals are personal information such as age, occupation, religion, marital status, social among others. After obtaining this information, the next step is hearing the complaints presentation from the patient.
Probing the patient is a very crucial step after that. Patient’s personal history is sought to be able to make the important state of disease/disorder. Why is this stage helpful? The probing is very important as it brings out the underlying issues and ultimately aiding in the determination of the possible diagnosis. It is worth noting that some health care stakeholders view this step as uncalled and unnecessary, a view which is disputed by any proper prescription techniques as this step provides essential underlying factors about the disease or the disorder. Basing this prescription on the Stahl prescription guide, some of the probing questions that the purported alcoholic patient would be subjected to included; for how long have been taking alcohol, medical history, is there any person in your family taking alcohol, what some of effects or signs experienced if stop taking alcohol for some time alongside others.
Patient’s symptoms are the succeeding main step that is keenly undertaken in order to establish the exact disease or alcohol withdrawal disorder. This stage is very crucial as it enables the doctor to prescribe the right medication after determining the exact effect and disease. Some of symptoms of alcohol withdrawal patient’s exhibit are Hatesins, hallucinations, agitation, tremor, elevated pulse, insomnia, nausea and vomiting, seizures among others (Stahl, 2014). Having determined a particular patient’s withdrawal signs, then a correct diagnosis is established and proper medication administered. After determining the general symptoms, the attending doctor or clinicians further probe the patients for more information to be sure. For example, if the patient’s states that he experiences seizures then the attending doctor should establish when the last alcohol was is taken, the correlation in relation to the number section for discussion on Wernicke’s syndrome, past medical history. In the event that hallucination and perpetual disturbances are deduced to the syndrome, then the doctor is tasked with the responsibility of probing to detect whether it is visual, auditory or tactile. After proper determination of the patient’s symptoms, then appropriate medications can be then prescribed. This is the assessment stage.
Guided by the Stahl prescription book guide, the last and most important stage is the prescription stage having determined the symptoms. This is known by many as the treatment stage. It involves giving the possible safety plans, diagnostic and laboratory testing to determine the depth of infection or organ destruction if possible, drugs administering and maybe follow up if the case dictates (Adams, 2013). Some of the recommended medications or treatment plan for the above symptoms is: those patients exhibiting hallucinations as signs of alcohol withdrawal are given pimavanserin, clozapine and quetiapine. For insomnia signs, the patients should be given sedatives, antihistamine and antidepressants. Self-health care like improved sleep habits should be recommended alongside light and cognitive behavior therapies. For seizures, home care is prescribed, and anti-seizure medications are administered. In cases of tremors, drugs like beta blockers and propranolol are recommended. Elevated pulse rate is lowered by medicines like metoprolol, atenolol, calcium channel blockers among others. To curb nausea, habits like drinking water, sports drinks or broths are encouraged (Fentner, 2017). After vomiting, the patient should be advised to take the small amount of bland foods. These, though not exclusive, are some of the possible prescriptions to the patients suffering from alcohol withdrawals.