Clinical picture:
Stage of Excitement: Flushed face - hiccup - increased appetite - sense of well being, violence and warmth.
Stage of Confusion: Delirium - unstable gait - blurred vision - tremors - difficult problem solving - positive
Rhombergism.
Stage of Stupor-dead drunk: Marked impairment of consciousness (no complete loss) - constricted pupil
(dilated on pinching the face).
Treatment:
1- Care of coma and hypotension.
2- Support respiration.
3- Gastric lavage with activated charcoal.
4- IV glucose.
Stage of Excitement: Flushed face - hiccup - increased appetite - sense of well being, violence and warmth.
Stage of Confusion: Delirium - unstable gait - blurred vision - tremors - difficult problem solving - positive
Rhombergism.
Stage of Stupor-dead drunk: Marked impairment of consciousness (no complete loss) - constricted pupil
(dilated on pinching the face).
Treatment:
1- Care of coma and hypotension.
2- Support respiration.
3- Gastric lavage with activated charcoal.
4- IV glucose.
5- Vitamin B complex: help alcohol oxidation.
* Vitamin B complex as Tri B -trivarol - neurorubine - neurobion - neuroton - Vit. B Complex.
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