Thiamine deficiency: Difference between revisions

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==Management==
==Management==
*[[Thiamine]] 50–100 mg IV for first few days, followed by 5-10mg PO daily
*[[Thiamine]] 50–100 mg IV for first few days, followed by 5-10mg PO daily
*Replete other vitamins/electrolytes that may also be depleted (e.g. banana bag, [[magnesium]], [[folate]], multivitamin)
*Replete other vitamins/electrolytes that may also be depleted (i.e. [[banana bag]])
*Replete thiamine '''before''' giving IV dextrose!
*Replete thiamine '''before''' giving IV dextrose!



Revision as of 23:00, 7 November 2017

Background

  • Most common cause: chronic alcohol abuse
  • Other causes: malabsorption, hemodialysis, chronic protein-calorie undernutrition
  • IV dextrose can precipitate in patients with marginal thiamine stores

Clinical Features

Differential Diagnosis

Ethanol related disease processes

Vitamin deficiencies

Evaluation

  • Clinical diagnosis

Management

  • Thiamine 50–100 mg IV for first few days, followed by 5-10mg PO daily
  • Replete other vitamins/electrolytes that may also be depleted (i.e. banana bag)
  • Replete thiamine before giving IV dextrose!

See Also

Thiamine deficiency types