Delirium tremens: Difference between revisions
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==See Also== | ==See Also== | ||
*[[Delerium]] | |||
*[[Alcohol withdrawal]] | |||
*[[Alcohol withdrawal: Inpatient management]] | |||
*[[Alcohol withdrawal: Outpatient management]] | |||
==External Links== | ==External Links== | ||
Revision as of 17:31, 15 February 2016
Background
- Onset after last drink - 48 to 96hrs
Clinical Features
- Delirium
- Disconnected from the environment
- Hyperdynamic vital signs
- Febrile
Differential Diagnosis
Diagnosis
Management
- Goal = sleepy, but arousable w/ HR <110
- Diazepam
- Long duration of action, max effect within 5min
- Start 10mg IV
- Redose q5min after observing effect
- Can double subsequent doses until achieve goal
- Propofol
- Consider intubation + propofol drip if benzo-nonresponsive
- Thiamine 100mg
Disposition
See Also
- Delerium
- Alcohol withdrawal
- Alcohol withdrawal: Inpatient management
- Alcohol withdrawal: Outpatient management