Alcohol Withdrawal CIWA-Ar — FRCA Final MCQ

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ModerateIntensive Care MedicineAlcohol Withdrawal CIWA-ArFRCA Final

48h post-emergency surgery: tachycardia, hypertension, agitation, tremor, visual hallucinations. 40 units alcohol/week. Scoring tool?

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Correct answer: A — CIWA-Ar

Alcohol withdrawal → delirium tremens. CIWA-Ar guides symptom-triggered benzodiazepine therapy. Scores ≥8 = pharmacological treatment. Chlordiazepoxide/diazepam first-line. IV Pabrinex (thiamine) before/with glucose to prevent Wernicke's.

Reference: NICE – 2023 – CG100 Alcohol-use disorders; ICS – 2023