A 38-year-old woman presents with acute confusion, ataxia and ophthalmoplegia. She is malnourished with a history of alcohol use disorder. According t...

Question

A 38-year-old woman presents with acute confusion, ataxia and ophthalmoplegia. She is malnourished with a history of alcohol use disorder. According to Canadian practice, what is the most appropriate immediate treatment?

Accepted Answer

IV thiamine before glucose administration

Answer

IV glucose followed by thiamine

Answer

Haloperidol for agitation only

Answer

High-dose corticosteroids

Answer

Observe without treatment

ca-mccqe1 MCQ (SBA): Wernicke encephalopathy

A 38-year-old woman presents with acute confusion, ataxia and ophthalmoplegia. She is malnourished with a history of alcohol use disorder. According to Canadian practice, what is the most appropriate immediate treatment?