Admit to hospital for management

You decide because of the alcohol and ativan use that she needs to be admitted to hospital.

You do the following: 

  • Thiamine 100 mg intramuscular once daily for three days, folic acid 5 mg once daily, and prenatal vitamin daily.
  • Monitor hydration and electrolytes.
  • Use CIWA scale and benzodiazepine loading with diazepam for symptomatic treatment. LINK to CIWA scale
  • Monitor for fetal well-being, depending on gestational age.

She is ready to be discharged after 48 hours. What would be your next step?

**LINK to primer

    Map: Street Drug Guide (5)
    Node: 405
    Score:

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