Difference between revisions of "Delirium tremens"

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==Differential Diagnosis==
 
==Differential Diagnosis==
{{Delerium DDX}}
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{{AMS DDX}}
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 +
{{Psych DDX}}
  
 
==Diagnosis==
 
==Diagnosis==

Revision as of 17:32, 15 February 2016

Background

  • Onset after last drink - 48 to 96hrs

Clinical Features

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

Differential Diagnosis

Altered mental status

Diffuse brain dysfunction

Primary CNS disease or trauma

Psychiatric

General Psychiatric

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