Doctor insights on:
What Is The Best Treatment For Delirium Tremens
Hospitalization: Delerium tremens is a severe form of alcohol withdrawal that can involve nervous system (anxiety, hallucinations, agitation, seizures) and cardiovascular (high blood pressure, heart racing) changes. It can be very dangerous. Treatment with various medications (often anti-anxiety medications in the class of benzodiazepines) is used to help people withdraw safely. ...Read more
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
Treat symptoms: There is no one-size-fits-all treatment for delirium tremens, a potentially-fatal withdrawal syndrome of alcohol abuse. In general the goal is to treat the symptoms and gently support the person through withdrawal while keeping them alive. The important thing to remember is dt can kill you; it must be treated early and aggressively. ...Read moreSee 1 more doctor answer
DTs: No! this is a life threatening situation and needs treatment by a physician. ...Read more
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
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 moreSee 1 more doctor answer
Alcohol withdrawal: Within 6-96 hrs after abrupt cessation of drinking, an alcoholic may develop withdrawal seizures followed by confusion, florid hallucinations, tremulousness, disorientation, agitation, even combativeness. This could well be life threatening and must be treated within a hospital, even an icu. Thiamine administration is critical. ...Read moreSee 1 more doctor answer
Hallucinations/shakes: While I have not personally experienced delirium tremens or dts, I have seen it on a number of occasions in alcoholics withdrawing from alcohol. It is characterized primarily by visual hallucinations, shaking tremors, high blood pressure, and rapid pulse. This is a medical emergency that can lead to seizures and death if not treated properly with IV fluids, enough valium to reverse the symptoms, and folic acid. ...Read more
Within 6-96 hrs after abrupt cessation of drinking, an alcoholic may develop withdrawal seizures followed by confusion, florid hallucinations, tremulousness, disorientation, agitation, even combativeness. This could well be life threatening and must be treated within a hospital, even an icu. ...Read more
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