All the following medications are ordered for a client admitted with a blood alcohol concentration of 0.18 mg%. Which of the following should the nurse administer first?
A)Thiamine 100 mg daily
B)Lorazepam 1 mg as needed
C)Folic acid 0.4 mg daily
D)Dextrose 5% in 0.45 saline over 8 hours

Question

Quizplus · Accepted Answer

Thiamine is given to all clients with alcohol intoxication to prevent Wernicke's encephalopathy. Because Wernicke's encephalopathy can be precipitated by the administration of glucose solutions, the thiamine should be given before (or concurrently with) the 5% dextrose solution. Lorazepam would not be appropriate while the client still has an elevated blood alcohol concentration (BAC). Folic acid also may be administered but is not as important as thiamine.

All the Following Medications Are Ordered for a Client Admitted