A 52-year-old man with alcohol use disorder presents with acute pancreatitis. Forty-eight hours after admission, he develops tremors, anxiety, and diaphoresis. Vital signs show BP 158/94 mmHg, HR 118/min, RR 22/min, and temperature 38.2°C. Serum magnesium is 1.2 mg/dL (normal 1.7-2.2). He has no focal neurologic deficits on examination. He then experiences generalized tonic-clonic seizures. Which medication is most appropriate as first-line treatment?
- A)Haloperidol monotherapy
- B)BenzodiazepinesGABARITO
- C)Physostigmine
- D)Naloxone
- E)Flumazenil
Explicação
Benzodiazepines are first line for alcohol withdrawal because they restore GABAergic tone and reduce the risk of seizures and delirium tremens. Tremor, autonomic instability, and seizures 2 days after stopping alcohol are classic withdrawal findings. Ver explicação completa e trilha adaptativa →