A 35-Year-Old Man Who Underwent Emergency Cholecystectomy a Day Ago

A 35-year-old man who underwent emergency cholecystectomy a day ago begins having seizures.  The surgery was uneventful, but since then, the patient has gradually become restless.  His medical history is remarkable for gastritis and a period of heroin abuse in his 20s.  The patient lives alone.  Medications include omeprazole.  Temperature is 37.2 C (99 F) , blood pressure is 145/92 mm Hg, pulse is 114/min, and respirations are 18/min.  Examination shows diaphoresis and tremors.  Wound incisions show no evidence of inflammation, and biliary drainage appears adequate.  Laboratory results are as follows: Which of the following is the most appropriate immediate treatment for this patient?

A) Buprenorphine
B) Chlordiazepoxide
C) Diazepam
D) Gabapentin
E) Lorazepam
F) Methadone
G) Valproate

Correct Answer:

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