Q:

A 54 year old man with alcohol dependence has tremor and sweating 3 days into a hosp admission for a fracture femur. He is apprehensive and fearful. What is the single most appropriate treatment?

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A 54 year old man with alcohol dependence has tremor and sweating 3 days into a hosp admission for a fracture femur. He is apprehensive and fearful. What is the single most appropriate treatment?


  1. Acamprossate
  2. Chlordiazepoxide
  3. Lorazepam
  4. Lofexidine
  5. Procyclidine

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The key is B. Chlordiazepoxide. C. Lorazepam is also correct key! [Dx alcohol withdrawal symptom. According to NICE 1st line treatment is oral lorazepam and if symptom persists or oral medicati declined, give parenteral lorazepam, haloperidol or olanzapine. According to OHCM 1st line treatment is chlordiazepoxide.

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