Question

A 52-year-old man with alcohol-related liver disease presents with confusion and drowsiness. On examination, he has a flapping tremor (asterixis) and is jaundiced. What is the most appropriate initial pharmacological treatment for his confusion?

Accepted Answer

Lactulose 30-50 mL orally

Answer

Thiamine 100 mg IV

Answer

Rifaximin 550 mg orally twice daily

Answer

Intravenous 5% dextrose

Answer

Haloperidol 0.5 mg orally

Practice question

A 52-year-old man with alcohol-related liver disease presents with confusion and drowsiness. On examination, he has a flapping tremor (asterixis) and is jaundiced. What is the most appropriate initial pharmacological treatment for his confusion?