Doctor insights on:
What Is Delirium Nocturnum
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
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
There are many: Delirium is a syndrome that involves confusion, poor attention, disturbance in sleep wake cycles, psychosis and other symptoms. It is most often seen in seeverely ill people who are hospitalized. Drug use and drug withdrawl can also cause it. Sleep deprivation, electrolyte disturbance, low oxygen/glucose etc can cause it. People with dementia and other brain pathology are at highest risk. ...Read moreSee 2 more doctor answers
Absolutely!: Very ill or aged folk can have delirium triggered by minor additional symptoms and pain is a common one. Management can be difficult w/out extreme sedation and that can risk or hasten death. But it can pass - it is a mental state - not a disease in itself. Try to keep the situation as calm and peaceful as possible. Try to recall the good times and stories of such a long life - that might help. ...Read moreSee 2 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
If acute and serious: There are many causes for delirium. Most common would be drug toxicity. This can be very serious and need acute medical care. Withdrawal from alcohol produces delirium that can cause serious medical complications. Infections of the brain can present with delirium and progress to coma. Patients with long standing psychiatric disease or dementia do not need hospitalization. ...Read moreSee 1 more doctor answer
Acute Brain Failure: 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 of psychiatry (5th ed). ...Read moreSee 2 more doctor answers
Should resolve: Delirium can have many causes in the elderly. It is a medical emergency. Once the underlying cause is found and treated, the confusion will resolve, although it may take many months. Orienting the person, having companionship and familiar surroundings are all helpful. The doctor may need to prescribe medication for agitation or irritability until the condition improves. ...Read more
Make sure that: All other potential causes or contributants are addressed. Get treatment for the pneumonia as soon as possible. Make sure that your family is aware that you have had periods of confusion. Ensure that you are adequately hydrated and that your nutrition is sound. Ensure that the antibiotics that you are receiving are not contributing to your delirium. ...Read more
No: Delirium is a confusional state caused by a medical or neurological condition with pschiaric symptoms. It is not caused by a psychological issue like denial. Delirium is accompanied by a number of neurotransmitter abnormalities as well as electrical abnormalities of brain functioning. Psychological issues can cause a number of difficulties but not this medical one. ...Read moreSee 1 more doctor answer
Meds, hydration: The issues to consider: reducing some existing meds (sometimes opioids), adding meds to help control delirium (often haloperidol is a first choice), and sometimes small amounts of hydration can be helpful. You should get an experienced clinician to help--if you're at home with someone, call the hospice or your doctor's office. ...Read moreSee 1 more doctor answer
Meds, reorientation: Delirium is a common occurrence I encounter in the hospital, especially with older patients. I encourage frequent reorientation, avoid constipation, treating the underlying condition that triggered the delirium, and sometimes requires medications (like haldol (haloperidol) or risperdal) to treat it. ...Read more
Off track: Lethargus and Phrenitus are the ancient terms. Precipitants initiate a cascade of neurochemical and metabolic brain events that disturb the normal functioning of the brain. "Brain insufficiency or failure" akin to heart failure. Not cell death, but cell strain. Brain cells can no longer perform their normal function but are not so taxed that they are actively dying. ...Read moreSee 1 more doctor answer
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