BDA Flashcards by Manon Rogeaux

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Examen systématique a faire face a une BDA ou agitation recente+++
Paraclinique

GaJ, iono, ca
NFS, crp
Hemostase
ECG
OH
ECG
= bilan systematique++++++

Puis tjr si bda et +/- si agitation
Oh, toxique urinaires
BHC, bilan renal
TSH
PL, ECBU, goutte epaisse, RT
TDM C
EEG

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Traitement de l’agitation aigue

1er i
BZD 1/2 v courte : oxazepam ( ci : insuff respi ou myasthenie)

2 i si pas possible po
LOXAPINE IM seul sans ecg ok
Sinon
Cyanmemazine po 
Levomrpromazine po
Attention QT lôg et agmente la tb vigilence

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Traitement du BDA

Neuroloeptique atypique PO
Amisulpride
Risperidone
Olanzapine

Si refus PO : LOXAPINE IM

+/- BZD favorise sedation
+/- phenothiazine sedatif: CYANMEMAZINE. Si agitation ou tb sommeil

Surveillance 1 an!!!!!

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BDA Flashcards

(3 cards)