Delirium Tremens Flashcards
1
Q
What is Delirium Tremens?
A
Acute confusional state secondary to alcohol withdrawal
2
Q
After what time period does it occur? Peaks at what hour?
A
Onset 1-7 days post last drink, peak at 72 hrs
3
Q
Classic Triad of symptoms?
A
Clouding of consciousness and confusion
Vivid hallucination and illusions – visual, often spiders or snakes
Marked tremor
4
Q
Other symptoms?
A
Delusions Agitation Convulsions Autonomic overactivity: ♣ Tachycardia ♣ Hyperthermia and sweating ♣ Hypertension ♣ Tachypnoea ♣ CV collapse
5
Q
Rx?
A
Diazepam - sedation or chlordiazepoxide (BZD)
6
Q
What can be given prophylactically against seizures and arrhythmias?
A
Magnesium
