What is the most appropriate intervention for an older adult with known alcohol use disorder who presents with symptoms of alcohol withdrawal, including tremors and agitation?
Explanation & Rationale
A. Provide a low-stimulus environment without pharmacologic intervention can help reduce anxiety and agitation but is insufficient alone for managing acute alcohol withdrawal, especially when symptoms such as tremors, agitation, or risk of seizures are present. B. Administer a benzodiazepine as prescribed is the first-line treatment for alcohol withdrawal. Benzodiazepines (e.g., lorazepam, diazepam) act on the central nervous system to reduce hyperactivity, prevent seizures, and alleviate agitation and tremors. They are particularly important in older adults, who may have a higher risk of complications such as delirium or withdrawal seizures. C. Initiate opioid therapy to manage agitation and tremors is inappropriate. Opioids do not treat alcohol withdrawal and may increase the risk of respiratory depression, sedation, or dependency. D. Discontinue all medications to avoid drug interactions is unsafe and neglects necessary treatment. Withdrawal management requires careful pharmacologic support, and discontinuing essential medications could worsen symptoms or lead to serious complications.