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Alcohol withdrawal — PARA MCQ

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HardPsychiatry - Substance misuseAlcohol withdrawalPARA

A 47-year-old man becomes tremulous, sweaty and agitated 24 hours after admission. He drinks 30 units of alcohol daily. Pulse is 118 beats/min and blood pressure is 162/96 mmHg. What is the most appropriate management?

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Correct answer: B — Assess using an alcohol-withdrawal protocol and give symptom-triggered benzodiazepine treatment with thiamine

Autonomic overactivity after stopping heavy alcohol use indicates alcohol withdrawal. Protocolised benzodiazepine treatment and thiamine reduce complications.

Reference: NICE CG100: Alcohol-use disorders; BNF