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Delirium

  1. Reasons
  2. Symptoms
  3. Diagnosis
  4. Treatment


Delirium

potentially reversible condition that most often it occurs unexpectedly people less able to concentrate, everything in his mind is confused, he disorientated and completely unable to think clearly.

Reasons

Delirium is not a disease. This altered state of consciousness, which is characterized by a number of symptoms that reflect a change in functioning of the psyche. The causative agent of delirium can be many causes from simple dehydration and ending with a drug overdose or dangerous infectious diseases. Frequent cases are recorded in the elderly and in people with brain injury, including very serious diseases in which the person shows drugs affecting the psyche and behavior of or in

.

Symptoms

The symptoms of delirium may vary in its manifestation. And the man who has a slight state of delirium, even more difficult to recognize the disease. People who have delirium, treatment is often prescribed as a progressive intoxication.

The most important symptom of delirium is absent-mindedness. The person cannot focus because of this it is difficult given the perception of new information and he practically doesn’t remember what happened to him recently. Ill disorientated in time and, in some cases, even in space. Occurs confused thinking, incoherent speech. Acute delirium leads to the fact that the patient is not able to say his name. It can disturb the bizarre visual hallucinations, it can seem non-existent objects and people. When a person did not adequately perceive his vision, he may develop delirium. Patients react in different ways some are pretty quiet, immersed in himself, this prevents others understand that delirium develops some overexcited and rush into battle against their hallucinations or try to hide from them.

If the manifestation of delirium caused by a drug, the specificity of behavior often depend on the type of medication. For example, if it was a sedative against

the man immersed in itself, and if there is an overdose of amphetamines, then the behavior becomes super-aggressive and more active.

The duration of delirium may amount to several tens of minutes, days and longer periods, all determined by the severity and attendant circumstances. More pronounced symptoms begin with night, leading to restless sleep. Sometimes certain circumstances lead to the escalation of delirium into a coma.

The main symptoms

  • confusion
  • inability of concentration of attention
  • nonsense
  • difficulty perceiving new information
  • hallucinations
  • disorientation in time and space.

Diagnosis

If the delirium has passed the stage of lung symptoms, doctors can easily recognize this pathology. The changed condition could signal the presence of more serious illnesses, some are able, even for a short period of time to cause death. The task of the doctor is to identify the causes of delirium. First, the doctor makes sure that it is delirium, not psychosis, the flow of which passes without changes in consciousness. Or, for example, a schizophrenic mental disorder, and in old age or dementia. The benchmark is the daily state of mind of the patient. However, people with a diagnosis of dementia can have the signs of delirium.

The doctor asks about all the stages of development of pathology in the patient. He asks friends and relatives, some unusual situations could contribute to confusion in the mind, over what period it progressed and collects information on the physical and mental characteristics of the patient’s health, including know about the use of medication, drugs or alcohol means. Information is provided to police or ambulance workers. After collecting all the necessary data is assigned to a full physical examination, and carefully observed the neurological response of the patient. He is losing blood, make x-rays, is often assigned a lumbar puncture, resulting in a cerebrospinal fluid for research.

The list of diagnostic methods

  • biological and chemical analysis of blood
  • history
  • spinal puncture
  • cranial radiography
  • the primary inspection.

Treatment

Therapeutic measures aimed at elimination of symptoms of delirium, is directly dependent on the main causes of its occurrence. For example, if the agent is an infectious disease, then prescribe a course of antibiotics. If the symptoms are manifested due to the increase in body temperature, then assign other drugs. When disturbed levels of blood salts and minerals that regulate the amount of fluid and salts by entering them together with food or medicines, and they are derived from the body diuretics.

Extremely violent patients and those who may have delirium tremens, which provoked the delirium tremens, protect from the damage that they can cause to themselves and others. This sometimes is used in hospitals limiting straps. If you know that this is delirium tremens, the treatment is assigned by taking benzodiazepines (diazepam, seduksen, Halcion, Singapura), until that moment, until the patient is calm.

The course of treatment with neuroleptic drugs haloperidol and chlorpromazine sonapaks often prescribed to patients who expressed a paranoid state or fears, and those who do not act benzodiazepines. In hospitals, staff should carefully apply the limiting straps or new drugs, especially for patients at an advanced age, because they can increase anxiety and confusion in the mind.