Question

A 45-year-old man with a history of alcohol excess presents with confusion, ataxia, and nystagmus. His partner reports he has been vomiting for several days and not eating well. What is the most important immediate treatment to prevent long-term neurological complications?

Accepted Answer

Intravenous Pabrinex (high-potency B vitamins)

Answer

Oral chlordiazepoxide

Answer

Intravenous 0.9% saline

Answer

Oral lorazepam

Answer

Intravenous glucose 50%

Practice question

A 45-year-old man with a history of alcohol excess presents with confusion, ataxia, and nystagmus. His partner reports he has been vomiting for several days and not eating well. What is the most important immediate treatment to prevent long-term neurological complications?