Question

A 50-year-old man with known alcohol dependence presents to the Emergency Department confused, ataxic, and with nystagmus. He appears malnourished. What is the most important initial pharmacological treatment to administer, ideally before giving any glucose-containing fluids?

Accepted Answer

Intravenous Pabrinex (high-dose B vitamins)

Answer

Intravenous Lorazepam

Answer

Intravenous Haloperidol

Answer

Oral Acamprosate

Answer

Oral Disulfiram

Practice question

A 50-year-old man with known alcohol dependence presents to the Emergency Department confused, ataxic, and with nystagmus. He appears malnourished. What is the most important initial pharmacological treatment to administer, ideally before giving any glucose-containing fluids?