25 year old male patient with alcohol dependence syndrome

A 25 year old male , daily labour by occupation ,came to the OPD with cheif complaints of -

Head injury since seven days  associated with vomitings, complains of tremors since 2days

History of presenting illness -

patient was apparently asymptomatic 7 days  back then he had head injury (under the influence of alcohol) associated with vomiting since 7days back -1 episode/day projectile,contents-food , tremors developed after stopping alcohol consumption from 2 days

Past history - 

Pateint ia an alcoholic since 1 year which was consumed occassionally then he increased consumption since 3 months because of personal family issues then stopped alcohol consuption from 4 days 

not a known case of htn , dm ,  epilepsy , asthma , tb

no previous surgical history 

no history of gallstones in the past

Personal history :

Diet - mixed ,appetite -decrease appetite ,bowel movement - regular,  bladder movements - regular  , addictions(alcohol) - 

alcoholics in 1 year takes at least 750ml occasional consumption of toody

no history of smoking or chewing tobacco

Family history - 

not significant

On examination -

patient is concious , coherent cooperative

no pallor , icterus , clubbing , cyanosis , lymphadenopathy ,  edema

Vitals - 

Temperature - afebrile 

Pulse rate - 92 bpm 

Blood pressure - 120/90 mm of hg 

Respiratory rate - 22 

Spo2 - 98% at room air

Systemic examination - 

cardiovascular  system : s1 and s2 heard , no murmurs

respiratory system : bilateral air entry present ,normal vesicular breath sounds

central nervous system : nad

p/a - non tender no organomegaly

Investigations

serology- negative

Provisional diagnosis- ALCOHOL DEPENDENCE SYNDROME

Treatment-

IVF NS,RL @ 75 ml/hr

Inj. PAN 40 mg IV OD

Inj. Zofer 4mg IV BD

Inj. Optineuron 1 amp in 100 ml NS IV OD

Inj. Lorazepam 1 amp / 4 mg IM (SOS)

Inj. Thiamine 1 amp in 100 ml NS IV TID

Tab Librium 25 mg 

Tab Baclofen XL 20 mg

Tab  PCM 650 mg PO SOS

Monitor vitals