Difference between revisions of "Delirium tremens"

Line 27: Line 27:
  
 
==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

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