Supportive care is mainstay of ED treatment and is based on clinical presentation
Manage ABCs
Benzodiazepines or haloperidol for agitation
IV fluids are commonly used but do not hasten ETOH elimination or reduce length of stay
Manage ABCs
Benzodiazepines or haloperidol for agitation
At risk for thiamine deficiency, but no symptoms: thiamine 100mg PO q day
Give multivitamin PO; patient at risk for other vitamin deficiencies
The majority of chronic alcoholics do NOT require a banana bag
Thiamine 100mg IV
Folate 1mg IV (cheaper PO)
Multivitamin 1 tab IV (cheaper PO)
Magnesium sulfate 2mg IV
Normal saline as needed for hydration
Ethanol toxicity
Methanol toxicity
Alcohol use disorder
Isopropyl alcohol toxicity
Alcohol withdrawal
Oxalic acid toxicity
Alcohol withdrawal seizures
Chlorate toxicity