A 40-year-old man is seen in the surgical department due to behavioral changes. He is confused and agitated. Two days ago, he is admitted to the hospital due to acute appendicitis. Today, the patient becomes irritable, severely agitated, and verbally abusive to the nursing staff. The patient does not use tobacco or illicit drugs but admits to drinking 6-8 beers daily for the last several years. Blood pressure is 165/90 mm Hg and pulse is 115/min. Examination shows hand tremors bilaterally. Which of the following is the most appropriate pharmacotherapy for this patient?

Question

Quizplus · Accepted Answer

Eductional Objective: Alcohol withdrawal should be considered in hospitalized patients who develop tremulousness, agitation, and elevated pulse and blood pressure within 48 hours following admission.  Benzodiazepines act as a substitute for the effects of alcohol on GABA receptors, preventing alcohol withdrawal from occuring.

A 40-Year-Old Man Is Seen in the Surgical Department Due