A 78-year-old man is admitted with acute confusion. He has a background of alcohol excess (approximately 40 units per week for decades). He is agitate...

Question

A 78-year-old man is admitted with acute confusion. He has a background of alcohol excess (approximately 40 units per week for decades). He is agitated, tremulous, sweating, and has visual hallucinations of insects. His 4AT score is 10. He last consumed alcohol 36 hours ago. What is the MOST appropriate pharmacological management?

Accepted Answer

Chlordiazepoxide using a symptom-triggered reducing regimen

Answer

Haloperidol 0.5 mg orally

Answer

Phenytoin 300 mg intravenously

Answer

Diazepam 10 mg rectally

Answer

Olanzapine 5 mg orally

uk-dgm MCQ (SBA): Delirium Tremens Management