Treating acute withdrawal from alcohol and other drugs

The withdrawal syndrome is the predictable constellation of signs and symptoms that follow abrupt discontinuation of, or rapid decrease in, the use of a substance that has been used consistently over a period of time. To manage the withdrawal syndrome in a way that is safe and humane for the patient, the nurse must understand the pharmacological principles underlying the drug use. Whereas supportive nursing care is often effective, many patients require some pharmacotherapy. Rating scales for assessing signs and symptoms of withdrawal and for placing patients in the most appropriate setting can be used to guide the clinical decision making process. The treatment of withdrawal should provide a link to other services that promote the recovery process.