A patient who is an alcoholic is seen in the clinic, and the primary care NP admits the patient to the hospital for acute withdrawal. The patient has elevated liver enzymes. The NP should expect the inpatient provider to prescribe:
a. lorazepam (Ativan).
b. diazepam (Valium).
c. acamprosate (Campral).
d. chlordiazepoxide (Librium).
A
Benzodiazepines are used to treat alcohol withdrawal because they demonstrate cross-tolerance with alcohol. Short-acting benzodiazepines are used in patients with liver damage. Lorazepam is a short-acting benzodiazepine. Acamprosate is used to reduce voluntary intake of alcohol and is not used for withdrawal symptoms.
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