A chronic alcoholic presented to the casualty with altered sensorium. His blood sugar level was normal. Which of the following is the treatment to be given:-: (A) Inj.VitaminBl, (B) IV dextrose 5%, (C) IV dextrose 50%, (D) IV Normal saline
Answer is A. Ans. is 'a' Inj. Vitamin B1 .This chronic alcoholic patient is in altered sensorium due to Wernicke's encephalopathy.TreatmentWernicke's disease is a medical emergency and requires immediate administration of thiamine (i.v. or i.m.).Note: That glucose infusion may precipitate Wernicke's disease in a previously unaffected patient or cause a rapid worsening of an early form of the disease.For this reason thiamine should be administered to all alcoholic patients requiring parenteral glucose.