Doctor insights on:
What Is Agitated Delirium
Restless & upset: Delirium is a disturbance of consciousness or reduced clarity of awareness of the environment. Individuals with this reduced ability to pay attention and focus may also experience memory problems, disorientation, or hallucinations. Sometimes people with delirium become particularly upset or restless. This is sometimes described as "agitated delirium.". ...Read moreSee 4 more doctor answers
We believe delirium occurs when the brain cannot maintain its normal activities when overwhelmed by metabolic demands or other variables which exceed the brain's capacity to compensate for. Brains with less reserve capacity are particularly vulnerable. Not entirely unlike acute heart failure. See my last textbook chapter for more reading in the appi textbook ...Read more
If agitated delirium continues for several hours in an elderly patient can the delirium itself, not only the underlying cause, be serious? Why
Absolutely.: Not only is delirium is a state of disorientation, an alteration in attention to surroundings, and can be dangerous due to the behavior of the patient, but after a period of time, regardless of the underlying cause the delirium may not clear 100% in many patients. It’s important that this serious condition is treated ASAP. ...Read moreSee 1 more doctor answer
If an elderly person has agitated delirium for several hours then can this cause a stroke or any other adverse medical events?
Unlikely: It is unlikely this could cause a stroke, but getting very agitated could cause heart problems, and it is possible they could hurt themselves or someone else during an episode. There are medicines that may help reduce the agitation. Also, it's important to know what is causing the episodes. Do they have dementia? Are they on a new medication.? Acute illnesses can bring this on. See a doctor. ...Read moreSee 1 more doctor answer
If an elderly male pt is unable to freely produce a specimen for a urine culture but blood cultures are still taken notwithstanding that the pt has agitated delirium, would it be feasible to take a urine culture by other means? If so, how? Quickly?
Delirium: Delirium is a clinical diagnosis, usually made in the context of other underlying medical conditions. Mental status changes within hours to days from normal waking to confusion ; reduced awareness of the environment. Activity level can be agitated to stuporous, even progressing to coma if the cause is not found and addressed. Multiple assessment scales exist also: http://tinyurl.Com/nyh77jo. ...Read moreSee 3 more doctor answers
Depends: What casued the delerium? Anesthesia? It usually passes in hrs. Psych meds? Surgery, lsd, stroke, altzheimers, depending on the cause the complications are anything you can think of if a person isn't thinking right; , hurting others or themselves, malnutrition or any organ can fail with long term delirum. ...Read moreSee 2 more doctor answers
Depends: We believe delirium occurs when the brain cannot maintain its normal activities when overwhelmed by metabolic demands or other variables which exceed the brain's capacity to compensate for. Brain with less reserve capacity are more vulnerable. Not entirely unlike acute heart failure. This is different than delirium tremens which is caused by neurochemical changes from drug/etoh withdrawl. ...Read moreSee 1 more doctor answer
Neuropsychiatry: Delusion: is a false belief that is maintained even though it is contradicted by reasoning. It is a psychiatric disorder. For example if i think I am george washington or that i talk to god, that I am a special mesenger from god all these are delusions. Delirium is acute brain syndrome produced by disease during which patients are confused, hallucinate, and have global impairment of thinking;. ...Read moreSee 1 more doctor answer
It depends: Usually, yes -- but it depends on the cause of the delirium, which must be found and treated. It is generally a medical problem, such as overdose, stroke, metabolic encephalopathy, etc. For instance, liver failure and diabetic hyperglycemia can cause this. Based on history & exam, doctors investigate and attend to what they find. Delirium may resolve along with the causative illness. ...Read moreSee 1 more doctor answer
Delirium tremens: This is a withdrawal syndrome that can happen when you stop drinking alcohol after a period of heavy drinking -- especially if not eating enough food. Symptoms most often occur within 72 hours after the last drink. However, they may occur up to 7 - 10 days after the last drink. These include body tremors, agitation, confusion, hallucinations, sweating, etc. Can lead to seizures. ...Read moreSee 1 more doctor answer
Yes and no: Really depends on how fast you recovered. 49 year olds who recover quickly from a delirious episode usually do well. Longer, scrappy episodes are a bit more concerning. Also depends whether this was a sedative withdrawal delirium ("expected") or acute brain failure delirium. Different pathogenesis for these two creatures unfortunately named identically as the DSM-5 crew is "extra-mature". ...Read more
Can be severe: Delirium tremens or alcohol withdrawal syndrome can have very severe symtpoms. These may include tremenulousness, agitation, confusion, hallucinations, high blood pressure, high heart rate, sweating. This can lead to seizures in the extreme cases. The seizures are usually generalized with uncontrolled movements of all of the limbs. ...Read more
DTs: Delerium tremens, is severe alcohol withdrawal, and can be deadly so it is treated with strong withdrawal medications in the intensive care units. The patient has severe confusion, is often very agitated, has shaking, and may have seizures. If a person drinks a lot daily, has done this for years, and then abruptly stops drinking, can go into dts. ...Read moreSee 1 more doctor answer
Why do some people (mainly old people) get delirium when they have a UTI? How does that happen? Why?
Out of balance: You hate to think of it this way, but when we get old the body (and mind) can become very frail. Many older folk have shrinkage of brain tissue/ some elements of cognitive decline whether it is recognized or not. Add a UTI to that and u can really throw your patient for a loop. With younger folk u rarely see this unless very severe-like sepsis. Once UTI is well treated, expect patient to recover. ...Read moreSee 1 more doctor answer
If a person appears to be in a state of delirium, and was prescribed pain meds before she became ill, continue to take those opiates?
Why do so few pcps diagnose the often permanenteffects of icu delirium after an icu stay? For three years, i described icu delirium symptoms to doctors but no one diagnosed it.
Overlooked Diagnosis: Delirium and its symptoms are easily misinterpreted. It doesn't help that the most likely person to develop delirium is someone with dementia. And if the dementia is early it may not have been diagnosed until delirium occurs. At least one study suggests one needs to diagnose and treat delirium to resolution within the first 2 weeks to have the best chance of restoring function. ...Read moreSee 3 more doctor answers
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