Difference between revisions of "Delirium tremens"

Line 30: Line 30:
  
 
==See Also==
 
==See Also==
*[[Delerium]]
+
*[[Beer Potomania Syndrome]]
 +
*[[Alcohol (ETOH) Intoxication]]
 +
*[[Alcoholic ketoacidosis]]
 
*[[Alcohol withdrawal]]
 
*[[Alcohol withdrawal]]
*[[Alcohol withdrawal seizures]]
 
 
*[[Alcohol withdrawal: Inpatient management]]
 
*[[Alcohol withdrawal: Inpatient management]]
 
*[[Alcohol withdrawal: Outpatient management]]
 
*[[Alcohol withdrawal: Outpatient management]]
 +
*[[Alcohol withdrawal seizures]]
 +
*[[Altered mental status]]
 +
*[[Delerium tremens]]
 +
*[[EBQ:Outpatient use of benzodiazepines for the treatment of acute alcohol withdrawal]]
 +
*[[Sedative/Hypnotic]]
 +
*[[Wernicke-Korsakoff Syndrome]]
  
 
==External Links==
 
==External Links==

Revision as of 17:41, 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

Admit

See Also

External Links

References