Question

A 52-year-old homeless man with alcohol dependence is brought to the emergency department confused and ataxic. He has horizontal nystagmus and ophthalmoplegia. What is the most appropriate immediate management?

Accepted Answer

Give intravenous Pabrinex (Thiamine-containing preparation) before any glucose

Answer

Give intravenous glucose followed by Thiamine

Answer

Give high-dose oral Thiamine only

Answer

Give Diazepam only

Answer

Discharge with vitamins from the pharmacy

Practice question

A 52-year-old homeless man with alcohol dependence is brought to the emergency department confused and ataxic. He has horizontal nystagmus and ophthalmoplegia. What is the most appropriate immediate management?