You are not a member of this wiki.
Pages and Files
Add "All Pages"
WikiTox Peoples-Uni Course
Structured Online Course
Suggested Teaching Outlines
How to contribute
a place to play & test things
Thiamine should be given routinely to all patients with alcohol intoxication, with a history of
or physical examination findings suggesting liver disease or Wernicke's encephalopathy.
Its routine use in patients with poisoning severe enough to require admission to an intensive care unit is probably justifiable given the difficulties in diagnosing encephalopathy in these patients.
The dose is 100 mg IM daily for five days (or until the need for it can be reassessed).
Oral thiamine may be poorly absorbed by patients with a history of alcohol abuse (particularly if they have a stomach full of
Thiamine should always be administered prior to IV glucose.
Hoffman RS, Goldfrank LR.
The poisoned patient with altered consciousness. Controversies in the use of a 'coma cocktail'. JAMA 1995;274:562-569.
Zubaran C, Fernandes JG, Rodnight R.
Wernicke-Korsakoff syndrome. Postgraduate Medical Journal 1997; 73(855):27-31.
help on how to format text
Turn off "Getting Started"