Question

A 55-year-old man with a long history of hazardous alcohol use is admitted with confusion, ataxia and ophthalmoplegia. There is no focal neurology. What is the most appropriate immediate treatment?

Accepted Answer

IV Thiamine before any glucose-containing fluids

Answer

Start high-dose oral Thiamine only

Answer

IV Diazepam for presumed delirium tremens

Answer

IV glucose bolus before Thiamine

Answer

Haloperidol for agitation only

Practice question

A 55-year-old man with a long history of hazardous alcohol use is admitted with confusion, ataxia and ophthalmoplegia. There is no focal neurology. What is the most appropriate immediate treatment?