A 52-year-old man with alcohol use disorder is admitted for planned detoxification. He drinks 20-24 standard drinks daily and last drank 8 hours ago. ...

Question

A 52-year-old man with alcohol use disorder is admitted for planned detoxification. He drinks 20-24 standard drinks daily and last drank 8 hours ago. He is tremulous and anxious, with blood pressure 150/90 mm Hg and pulse 104 beats/min. What is the most appropriate management to prevent severe withdrawal?

Accepted Answer

Start fixed-schedule benzodiazepine regimen guided by withdrawal scale, plus thiamine before glucose

Answer

Start haloperidol monotherapy

Answer

Withhold all medications and observe

Answer

Use beta-blockers alone to control autonomic symptoms

Answer

Start disulfiram immediately

ca-mccqe1 MCQ (SBA): Alcohol withdrawal