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Doctor insights on: What Is Delirium Nocturnum

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What is delirium nocturnum?

What is delirium nocturnum?

Not common term: Literally, confusion at night. Many illnesses have increased symptoms at night includg dementia where the term sundowning is used. ...Read more

Dr. Maureen Nash
368 Doctors shared insights

Delirium (Definition)

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


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What is delirium?

What is delirium?

Delirium: Delirium is with acute onset & change in level of consciousness. ...Read more

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How is delirium treated?

How is delirium treated?

Treat cause: Delireum can be caused by alot of things.
Infection, medication, anesthesia? It's a pretty long list. You have to treat the underlying cause. ...Read more

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How is delirium diagnosed?

How is delirium diagnosed?

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 more

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What is a cause of delirium?

What is a cause of delirium?

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 more

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Can pain make delirium worse?

Can pain make delirium worse?

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 more

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What are the complications of delirium?

What are the complications of delirium?

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 more

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What causes someone to have acute delirium?

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 more

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Are people generally hospitalized for delirium?

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 more

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What is the definition or description of: delirium?

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 more

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How to control a person experiencing excited delirium?

Medication: The first step is to try to orient the person and quiet him/her down. If that does not work, it may be necessary to use medications: antipsychotics and/or antianxiety. ...Read more

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What to do if my grandfather has delirium, I need help, don't know where to ask else?

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

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What is exhaustion delirium?

What is exhaustion delirium?

Not a diagnosis.: There is no medical term exhaustion delirium but perhaps this is referring to dehydration from heat exhaustion causing confusion. ...Read more

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Delirium from pneumonia, what to do?

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

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Can delirium be caused by deep denial?

Can delirium be caused by deep denial?

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 more

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How can I manage end of life delirium?

How can I manage end of life delirium?

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 more

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Delirium from pneumonia, how can I deal with it?

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

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Can docs explain what does the word delirium mean?

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 more

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I have delirium from pneumonia, how to deal with it?

I have delirium from pneumonia, how to deal with it?

Very unusual: It is very unusual for a 33 year old to be delirious from pneumonia unless your are extremely hypoxic. In that scenario, you would be unable to type your question. Please clarify what particular symptoms you are struggling with, and or see your doctor. ...Read more

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(1) Can hypernatremia be live-threatening?, and (2) Can hypernatremia be an underlying cause of delirium?

Yes and no: Yes, hypernatremia if severe enough, can be life threatening, although this is rare. Hypernatremia itself is unlikely to cause delirium, (it can cause a coma, but not delirium), however the underlying cause of the hypernatremia can cause delirium. ...Read more

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What are delusions and delirium?

What are delusions and delirium?

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 more

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Is there a treatment for hypoactive delirium?

Is there a treatment for hypoactive delirium?

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 more

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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 more

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Can delirium be prevented?

Yes and no: Delirium due to "acute brain failure" as opposed to drug or alcohol withdrawal does have some known and modifiable precipitants. Elderly adults with pre-existing brain atrophy are perhaps the most vulnerable. Several studies have been done in the past 15 years looking at mitigating delirium risk via " delirium prophylaxis". Stanford and perhaps vanderbilt are leaders in this. ...Read more

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Does home treatment affect delirium?

Depends: If we are considering acute brain failure delirium unlinked to drug or alcohol withdrawal states, then the home environment can be helpful as it is more "orienting" and familiar to a confused person. This may help reduce distress. Home treatment can also worsen delirium if medications are not administered correctly, or if some otcs like Benadryl (diphenhydramine) are used. ...Read more

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Do a lot of people get delirium tremens?

Alcoholics: Chronic alcoholics develop delirium tremens during the withdrawal process. It is a serious illness and needs to be treated as an emergency. ...Read more

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What's the between dementia and delirium?

What's the between dementia and delirium?

Delirium/Dementia: Delirium is with acute onset & change in level of consciousness. Dementia is more chronic, progressive decline in mental status functions. ...Read more

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What are the symptoms of delirium tremens?

Seizures: Preceded by fever, rapid heart rate, confusion, inability to walk well, irritability and anxiety. Withdrawal begins within hours of the last drink. Within 2-3 days the syndrome is in full swing and the risk of seizures and death is highest within 3-7days. The more regularly one drinks and the larger the amounts, the higher the risk of significant withdrawal. ...Read more

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What kind of condition is delirium tremens?

Withdrawal Alcohol?: Delirium tremens is an acute episode of delirium that is usually caused by withdrawal from alcohol, first described in benzodiazepines are the treatment of choice for delirium tremens (dt)withdrawal from sedative-hypnotics other than alcohol, such as benzodiazepines, or barbiturates, can also result in seizures, delirium tremens, and death if not properly managed. ...Read more