The nurse is caring for a client who is experiencing acute tremulousness caused by alcohol withdrawal. Which of the following would be the drug of choice for this condition?
A) 10 to 30 mg oxazepam (Serax)
B) 0.5 to 2 mg lorazepam (Ativan)
C) 2 to 10 mg diazepam
D) 5 to 25 mg chlordiazepoxide (Librium)
A
Feedback:
10 to 30 mg oxazepam (Serax) would be given for acute tremulousness, especially in alcohol withdrawal; 0.5 to 2 mg lorazepam (Ativan) is preferred for withdrawal in the elderly or if the liver is damaged; 2 to 10 mg diazepam is commonly used in alcohol withdrawal; and 5 to 25 mg chlordiazepoxide (Librium) is helpful in acute agitation, DTs, and hallucinosis.
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