Difference between revisions of "Delirium tremens"

Line 14: Line 14:
  
 
==Management==
 
==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==
 
==Disposition==

Revision as of 17:30, 15 February 2016

Background

  • Onset after last drink - 48 to 96hrs

Clinical Features

  • Delirium
    • Disconnected from the environment
  • Hyperdynamic vital signs
  • Febrile

Differential Diagnosis

Template:Delerium DDX

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

External Links

References