Question

A 55-year-old man with alcohol dependence presents to the emergency department 12 hours after his last drink with tremor, tachycardia and anxiety. He is at risk of severe withdrawal. Which intervention should be given before any intravenous dextrose-containing fluids?

Accepted Answer

Intravenous thiamine

Answer

Haloperidol

Answer

Phenytoin

Answer

High-dose IV dextrose without vitamins

Answer

No prophylaxis is required

Practice question

A 55-year-old man with alcohol dependence presents to the emergency department 12 hours after his last drink with tremor, tachycardia and anxiety. He is at risk of severe withdrawal. Which intervention should be given before any intravenous dextrose-containing fluids?