A 55-year-old man with long-standing alcohol use disorder is brought to the emergency department with confusion, ataxia and nystagmus. He is malnouris...

Question

A 55-year-old man with long-standing alcohol use disorder is brought to the emergency department with confusion, ataxia and nystagmus. He is malnourished. What is the most appropriate immediate treatment?

Accepted Answer

Intravenous thiamine before giving glucose

Answer

Intravenous glucose followed by oral thiamine

Answer

Oral thiamine only

Answer

Haloperidol for agitation only

Answer

No specific treatment is required

au-acem MCQ (SBA): Wernicke encephalopathy

A 55-year-old man with long-standing alcohol use disorder is brought to the emergency department with confusion, ataxia and nystagmus. He is malnourished. What is the most appropriate immediate treatment?