Delirium

Question 1

Delirium Medications and doses as per CCSMH

Answer 1

Medication    Suggested initial dosage
Haloperidol   0.25 mg - 0.5 mg po od-bid (best unless PD or LBD)
Risperidone   0.25 mg po od-bid
Olanzapine    1.25 mg - 2.5 mg po od
Quetiapine     12.5 mg - 50 mg po od
Obtain ECG 1st

Question 2

Investigations not routinely done in delirium

Answer 2

EEG
CT
lumbar puncture

Question 3

ETOH withdrawal delirium in elderly meds

Answer 3

Ativan
Antipsychotics if psych symptoms not controled with ativan
thiamine

Question 4

scales in delerium

Answer 4

CAM= confusion assessment method for screenig
Delirium symptom interview to aid diagnosis
Delirium in dex for severity or Del rating scale to measure severity
McArthur competency asst tool to aid competency asst
CIWA for withdrawal delirium