Vitamin Deficiency Syndromes — Practice
A 50-year-old man with alcohol dependence is admitted and started on intravenous dextrose. Two days later he develops confusion, ophthalmoplegia, and gait ataxia. Deficiency of which vitamin is responsible, and what is the priority?
ACobalamin, given intramuscularly
BThiamine, which must be given before glucose
CPyridoxine, replaced orally
DNiacin, replaced with nicotinamide