Feeling short of breath and has had nausea

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A 37-year-old man presents with anxiety. He has been trembling, sweating, feeling short of breath, and has had nausea. His medical history is notable for alcohol use disorder. His last alcoholic beverage was 18 hours ago and his symptoms began 10 hours ago. He has no history of a psychotic, mood, or anxiety disorder. He does not smoke cigarettes or use drugs. On physical examination, temperature is 98.9°F, blood pressure 140/83, pulse 118, respiratory rate 17. He is in moderate distress. Lungs are clear to auscultation. Tachycardia is appreciated on cardiac auscultation. Abdomen is soft and nontender. No lower extremity edema is appreciated. Electrocardiogram reveals sinus tachycardia. Troponin I level is < 0.01 ng/mL. Of the following, which is most appropriate for the management of this patient's anxiety? Bupropion Buspirone Citalopram followed by cognitive behavioral therapy on discharge Lorazepam.

Reference no: EM133821173

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