HPI: WG is a 41-year-old female who brought herself into the ER last night asking to “detox from vodka.” She tells you she has a long-standing history of alcohol dependence with multiple relapses. She also reports that she has experienced alcohol withdrawal seizures before. 
Current CIWA-Ar is 17. 
PMH: She denies any past medical history 
Labs: Indicates hepatic insufficiency (LFTs x3 ULN). All other lab work is normal. 
Current Medications: She denies taking any medications.
• In what setting will she be managed?
How will you manage this patient’s withdrawal syndrome?