**Question:** A 39-year old carpenter has taken two bottles of liquor from the local shop. After about an hour he develops confusion, vomiting and blurring of vision. He has been brought to the emergency out patient. He should be given:

A. Acetaminophen
B. Calcium Chloride
C. Glucose Injection
D. Fluid Replacement

**Correct Answer:** .

**Core Concept:** Ethanol, the main psychoactive component of alcohol, causes a variety of acute alcohol withdrawal symptoms due to its dependence on the central nervous system.

**Why the Correct Answer is Right:** The correct answer, **D. Fluid Replacement**, is essential in managing alcohol-induced dehydration and electrolyte imbalances that may occur due to excessive alcohol intake. Alcohol consumption leads to increased urine output and impaired kidney function, leading to excessive fluid loss and electrolyte imbalances. Fluid replacement addresses these issues and helps restore the body's balance.

**Why Each Wrong Option is Incorrect:**

A. **Acetaminophen (Paracetamol)**: This option is incorrect as it does not address the patient's acute alcohol withdrawal symptoms. Acetaminophen is a pain reliever and fever reducer, not relevant to managing alcohol withdrawal.

B. **Calcium Chloride**: This option is incorrect as it does not address the patient's alcohol-induced symptoms. Calcium Chloride is a mineral supplement and has no direct impact on managing alcohol withdrawal symptoms.

C. **Glucose Injection**: This option is incorrect as it may exacerbate alcohol withdrawal symptoms. High blood glucose levels can increase the patient's risk of seizures, which are a severe complication of alcohol withdrawal.

**Clinical Pearl:** In managing alcohol withdrawal symptoms, a comprehensive approach should be taken, including addressing dehydration, electrolyte imbalances, and managing symptoms. Fluid replacement is essential in this context, as it addresses dehydration and electrolyte imbalances caused by excessive alcohol consumption.