https://idwiki.org/index.php?action=history&feed=atom&title=Delirium 2026-05-13T03:32:44Z Revision history for this page on the wiki MediaWiki 1.43.8 https://idwiki.org/index.php?title=Delirium&diff=9204&oldid=prev 2022-06-26T15:01:04Z

<p></p> <table style="background-color: #fff; color: #202122;" data-mw="interface"> <col class="diff-marker" /> <col class="diff-content" /> <col class="diff-marker" /> <col class="diff-content" /> <tr class="diff-title" lang="en"> <td colspan="2" style="background-color: #fff; color: #202122; text-align: center;">← Older revision</td> <td colspan="2" style="background-color: #fff; color: #202122; text-align: center;">Revision as of 15:01, 26 June 2022</td> </tr><tr> <td colspan="2" class="diff-lineno">Line 44:</td> <td colspan="2" class="diff-lineno">Line 44:</td> </tr> <tr> <td class="diff-marker"></td> <td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>**Endocrine: thyroid, parathyroid, pancreas, pituitary, adrenals</div></td> <td class="diff-marker"></td> <td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>**Endocrine: thyroid, parathyroid, pancreas, pituitary, adrenals</div></td> </tr> <tr> <td class="diff-marker"></td> <td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>**Electrolytes: sodium, calcium, magnesium, potassium</div></td> <td class="diff-marker"></td> <td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>**Electrolytes: sodium, calcium, magnesium, potassium</div></td> </tr> <tr> <td class="diff-marker" data-marker="−"></td> <td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>**Hypoglycemia/hyperglycemia</div></td> <td class="diff-marker" data-marker="+"></td> <td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>**<ins style="font-weight: bold; text-decoration: none;">[[</ins>Hypoglycemia<ins style="font-weight: bold; text-decoration: none;">]]</ins>/<ins style="font-weight: bold; text-decoration: none;">[[</ins>hyperglycemia<ins style="font-weight: bold; text-decoration: none;">]]</ins></div></td> </tr> <tr> <td class="diff-marker" data-marker="−"></td> <td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>**Hypoxemia/<del style="font-weight: bold; text-decoration: none;">Hypercarbia</del></div></td> <td class="diff-marker" data-marker="+"></td> <td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>**<ins style="font-weight: bold; text-decoration: none;">[[</ins>Hypoxemia<ins style="font-weight: bold; text-decoration: none;">]]</ins>/<ins style="font-weight: bold; text-decoration: none;">[[hypercarbia]]</ins></div></td> </tr> <tr> <td class="diff-marker" data-marker="−"></td> <td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>**Hypoosmolar/<del style="font-weight: bold; text-decoration: none;">Hyperosmolar</del></div></td> <td class="diff-marker" data-marker="+"></td> <td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>**Hypoosmolar/<ins style="font-weight: bold; text-decoration: none;">hyperosmolar</ins></div></td> </tr> <tr> <td class="diff-marker" data-marker="−"></td> <td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>**Inborn errors of metabolism: porphyria, Wilson<del style="font-weight: bold; text-decoration: none;">'s</del> disease</div></td> <td class="diff-marker" data-marker="+"></td> <td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>**Inborn errors of metabolism: <ins style="font-weight: bold; text-decoration: none;">[[</ins>porphyria<ins style="font-weight: bold; text-decoration: none;">]]</ins>, <ins style="font-weight: bold; text-decoration: none;">[[</ins>Wilson disease<ins style="font-weight: bold; text-decoration: none;">]]</ins></div></td> </tr> <tr> <td class="diff-marker"></td> <td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>**Nutrition: [[Wernicke encephalopathy|Wernicke's]], [[Vitamin B12 deficiency|B12 deficiency]], [[niacin deficiency]]</div></td> <td class="diff-marker"></td> <td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>**Nutrition: [[Wernicke encephalopathy|Wernicke's]], [[Vitamin B12 deficiency|B12 deficiency]], [[niacin deficiency]]</div></td> </tr> <tr> <td class="diff-marker"></td> <td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>*Environmental</div></td> <td class="diff-marker"></td> <td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>*Environmental</div></td> </tr> <tr> <td class="diff-marker" data-marker="−"></td> <td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>**Surroundings, room changes</div></td> <td class="diff-marker" data-marker="+"></td> <td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>**Surroundings, room changes<ins style="font-weight: bold; text-decoration: none;">, lack of sunlight indicating day &amp; night</ins></div></td> </tr> <tr> <td class="diff-marker"></td> <td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>*Structures &amp;amp; organs</div></td> <td class="diff-marker"></td> <td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>*Structures &amp;amp; organs</div></td> </tr> <tr> <td class="diff-marker"></td> <td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>**CNS</div></td> <td class="diff-marker"></td> <td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>**CNS</div></td> </tr> <tr> <td class="diff-marker"></td> <td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>***[[Stroke]]</div></td> <td class="diff-marker"></td> <td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>***[[Stroke]]</div></td> </tr> <tr> <td class="diff-marker"></td> <td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>***Brain injury</div></td> <td class="diff-marker"></td> <td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>***Brain injury</div></td> </tr> <tr> <td class="diff-marker" data-marker="−"></td> <td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>***Seizure</div></td> <td class="diff-marker" data-marker="+"></td> <td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>***<ins style="font-weight: bold; text-decoration: none;">[[</ins>Seizure<ins style="font-weight: bold; text-decoration: none;">]]</ins></div></td> </tr> <tr> <td class="diff-marker"></td> <td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>**Cardiac: [[heart failure]]</div></td> <td class="diff-marker"></td> <td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>**Cardiac: [[heart failure]]</div></td> </tr> <tr> <td class="diff-marker"></td> <td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>**Renal: [[AKI]]/[[CKD]]</div></td> <td class="diff-marker"></td> <td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>**Renal: [[AKI]]/[[CKD]]</div></td> </tr> <tr> <td colspan="2" class="diff-lineno">Line 72:</td> <td colspan="2" class="diff-lineno">Line 72:</td> </tr> <tr> <td class="diff-marker"></td> <td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>**Hydration</div></td> <td class="diff-marker"></td> <td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>**Hydration</div></td> </tr> <tr> <td class="diff-marker"></td> <td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>*Medications: stop medication</div></td> <td class="diff-marker"></td> <td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>*Medications: stop medication</div></td> </tr> <tr> <td class="diff-marker" data-marker="−"></td> <td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>*Dehydration: IV or hypodermoclesis (fluid given subcutaneously)</div></td> <td class="diff-marker" data-marker="+"></td> <td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>*Dehydration: IV or <ins style="font-weight: bold; text-decoration: none;">[[</ins>hypodermoclesis<ins style="font-weight: bold; text-decoration: none;">]]</ins> (fluid given subcutaneously)</div></td> </tr> <tr> <td class="diff-marker" data-marker="−"></td> <td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>*Hypercalcemia: IV [[bisphosphonate]] ([[zoledronate]]/[[pamidronate]])</div></td> <td class="diff-marker" data-marker="+"></td> <td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>*<ins style="font-weight: bold; text-decoration: none;">[[</ins>Hypercalcemia<ins style="font-weight: bold; text-decoration: none;">]]</ins>: IV [[bisphosphonate]] ([[zoledronate]]/[[pamidronate]])</div></td> </tr> <tr> <td class="diff-marker"></td> <td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>*Infection: antibiotics</div></td> <td class="diff-marker"></td> <td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>*Infection: antibiotics</div></td> </tr> <tr> <td class="diff-marker" data-marker="−"></td> <td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>*Hepatic encepalopathy: [[lactulose]]</div></td> <td class="diff-marker" data-marker="+"></td> <td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>*<ins style="font-weight: bold; text-decoration: none;">[[</ins>Hepatic encepalopathy<ins style="font-weight: bold; text-decoration: none;">]]</ins>: [[lactulose]]</div></td> </tr> <tr> <td class="diff-marker"></td> <td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>*Brain metastases: [[corticosteroids]] (e.g. [[dexamethasone]])</div></td> <td class="diff-marker"></td> <td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>*Brain metastases: [[corticosteroids]] (e.g. [[dexamethasone]])</div></td> </tr> <tr> <td class="diff-marker"></td> <td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br /></td> <td class="diff-marker"></td> <td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br /></td> </tr> </table>

Aidan https://idwiki.org/index.php?title=Delirium&diff=9202&oldid=prev 2022-06-25T19:45:35Z

<p></p> <table style="background-color: #fff; color: #202122;" data-mw="interface"> <col class="diff-marker" /> <col class="diff-content" /> <col class="diff-marker" /> <col class="diff-content" /> <tr class="diff-title" lang="en"> <td colspan="2" style="background-color: #fff; color: #202122; text-align: center;">← Older revision</td> <td colspan="2" style="background-color: #fff; color: #202122; text-align: center;">Revision as of 19:45, 25 June 2022</td> </tr><tr> <td colspan="2" class="diff-lineno">Line 71:</td> <td colspan="2" class="diff-lineno">Line 71:</td> </tr> <tr> <td class="diff-marker"></td> <td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>**Dose reduction</div></td> <td class="diff-marker"></td> <td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>**Dose reduction</div></td> </tr> <tr> <td class="diff-marker"></td> <td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>**Hydration</div></td> <td class="diff-marker"></td> <td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>**Hydration</div></td> </tr> <tr> <td class="diff-marker" data-marker="−"></td> <td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>*Medications: <del style="font-weight: bold; text-decoration: none;">Stop</del> medication</div></td> <td class="diff-marker" data-marker="+"></td> <td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>*Medications: <ins style="font-weight: bold; text-decoration: none;">stop</ins> medication</div></td> </tr> <tr> <td class="diff-marker" data-marker="−"></td> <td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>*Dehydration: IV or <del style="font-weight: bold; text-decoration: none;">Hypodermoclesis</del> (fluid given subcutaneously)</div></td> <td class="diff-marker" data-marker="+"></td> <td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>*Dehydration: IV or <ins style="font-weight: bold; text-decoration: none;">hypodermoclesis</ins> (fluid given subcutaneously)</div></td> </tr> <tr> <td class="diff-marker" data-marker="−"></td> <td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>*Hypercalcemia: IV bisphosphonate (zoledronate/pamidronate)</div></td> <td class="diff-marker" data-marker="+"></td> <td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>*Hypercalcemia: IV <ins style="font-weight: bold; text-decoration: none;">[[</ins>bisphosphonate<ins style="font-weight: bold; text-decoration: none;">]]</ins> (<ins style="font-weight: bold; text-decoration: none;">[[</ins>zoledronate<ins style="font-weight: bold; text-decoration: none;">]]</ins>/<ins style="font-weight: bold; text-decoration: none;">[[</ins>pamidronate<ins style="font-weight: bold; text-decoration: none;">]]</ins>)</div></td> </tr> <tr> <td class="diff-marker" data-marker="−"></td> <td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>*Infection: <del style="font-weight: bold; text-decoration: none;">Antibiotics</del></div></td> <td class="diff-marker" data-marker="+"></td> <td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>*Infection: <ins style="font-weight: bold; text-decoration: none;">antibiotics</ins></div></td> </tr> <tr> <td class="diff-marker" data-marker="−"></td> <td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>*Hepatic encepalopathy: <del style="font-weight: bold; text-decoration: none;">Lactulose</del></div></td> <td class="diff-marker" data-marker="+"></td> <td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>*Hepatic encepalopathy: <ins style="font-weight: bold; text-decoration: none;">[[lactulose]]</ins></div></td> </tr> <tr> <td class="diff-marker" data-marker="−"></td> <td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>*Brain metastases: <del style="font-weight: bold; text-decoration: none;">Corticosteroids</del></div></td> <td class="diff-marker" data-marker="+"></td> <td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>*Brain metastases: <ins style="font-weight: bold; text-decoration: none;">[[corticosteroids]] (e.g. [[dexamethasone]])</ins></div></td> </tr> <tr> <td colspan="2" class="diff-empty diff-side-deleted"></td> <td class="diff-marker" data-marker="+"></td> <td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><br /></td> </tr> <tr> <td colspan="2" class="diff-empty diff-side-deleted"></td> <td class="diff-marker" data-marker="+"></td> <td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>==== Antipsychotics ====</div></td> </tr> <tr> <td colspan="2" class="diff-empty diff-side-deleted"></td> <td class="diff-marker" data-marker="+"></td> <td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>*Mild</div></td> </tr> <tr> <td colspan="2" class="diff-empty diff-side-deleted"></td> <td class="diff-marker"><a class="mw-diff-movedpara-right" title="Paragraph was moved. Click to jump to old location." href="#movedpara_5_0_lhs">&#x26AB;</a></td> <td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div><a name="movedpara_2_3_rhs"></a><ins style="font-weight: bold; text-decoration: none;">*</ins>*Elderly: <ins style="font-weight: bold; text-decoration: none;">[[haloperidol]]</ins> 0.<ins style="font-weight: bold; text-decoration: none;">5 mg</ins> PO/SQ/IV/IM q4h prn</div></td> </tr> <tr> <td colspan="2" class="diff-empty diff-side-deleted"></td> <td class="diff-marker"><a class="mw-diff-movedpara-right" title="Paragraph was moved. Click to jump to old location." href="#movedpara_5_1_lhs">&#x26AB;</a></td> <td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div><a name="movedpara_2_4_rhs"></a><ins style="font-weight: bold; text-decoration: none;">*</ins>*End-of-life: <ins style="font-weight: bold; text-decoration: none;">[[haloperidol]]</ins> 0.5-<ins style="font-weight: bold; text-decoration: none;">1 mg</ins> po or subcut daily or BID + <ins style="font-weight: bold; text-decoration: none;">[[</ins>haloperidol<ins style="font-weight: bold; text-decoration: none;">]]</ins> 0.5-<ins style="font-weight: bold; text-decoration: none;">1 mg</ins> po/SC q1h prn</div></td> </tr> <tr> <td colspan="2" class="diff-empty diff-side-deleted"></td> <td class="diff-marker" data-marker="+"></td> <td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>*Moderate</div></td> </tr> <tr> <td colspan="2" class="diff-empty diff-side-deleted"></td> <td class="diff-marker"><a class="mw-diff-movedpara-right" title="Paragraph was moved. Click to jump to old location." href="#movedpara_5_2_lhs">&#x26AB;</a></td> <td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div><a name="movedpara_2_6_rhs"></a>*<ins style="font-weight: bold; text-decoration: none;">*[[</ins>Haloperidol<ins style="font-weight: bold; text-decoration: none;">]]</ins> 2-2.<ins style="font-weight: bold; text-decoration: none;">5 mg</ins> po/sc bid or tid + <ins style="font-weight: bold; text-decoration: none;">[[</ins>haloperidol<ins style="font-weight: bold; text-decoration: none;">]] 2</ins> <ins style="font-weight: bold; text-decoration: none;">mg</ins> po/sc q1h prn</div></td> </tr> <tr> <td colspan="2" class="diff-empty diff-side-deleted"></td> <td class="diff-marker"><a class="mw-diff-movedpara-right" title="Paragraph was moved. Click to jump to old location." href="#movedpara_5_3_lhs">&#x26AB;</a></td> <td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div><a name="movedpara_2_7_rhs"></a><ins style="font-weight: bold; text-decoration: none;">*</ins>*Or <ins style="font-weight: bold; text-decoration: none;">[[</ins>methotrimeprazine<ins style="font-weight: bold; text-decoration: none;">]]</ins> 5-12.<ins style="font-weight: bold; text-decoration: none;">5 mg</ins> po/sc bid or tid + prn</div></td> </tr> <tr> <td colspan="2" class="diff-empty diff-side-deleted"></td> <td class="diff-marker" data-marker="+"></td> <td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>*Severe</div></td> </tr> <tr> <td colspan="2" class="diff-empty diff-side-deleted"></td> <td class="diff-marker"><a class="mw-diff-movedpara-right" title="Paragraph was moved. Click to jump to old location." href="#movedpara_5_4_lhs">&#x26AB;</a></td> <td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div><a name="movedpara_2_9_rhs"></a><ins style="font-weight: bold; text-decoration: none;">*</ins>*Elderly: <ins style="font-weight: bold; text-decoration: none;">[[</ins>haloperidol<ins style="font-weight: bold; text-decoration: none;">]]</ins> <ins style="font-weight: bold; text-decoration: none;">1 mg</ins>, or <ins style="font-weight: bold; text-decoration: none;">[[</ins>quetiapine<ins style="font-weight: bold; text-decoration: none;">]]</ins> 12.<ins style="font-weight: bold; text-decoration: none;">5 mg</ins> if long QT</div></td> </tr> <tr> <td colspan="2" class="diff-empty diff-side-deleted"></td> <td class="diff-marker"><a class="mw-diff-movedpara-right" title="Paragraph was moved. Click to jump to old location." href="#movedpara_5_5_lhs">&#x26AB;</a></td> <td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div><a name="movedpara_2_10_rhs"></a>*<ins style="font-weight: bold; text-decoration: none;">*[[</ins>Midazolam<ins style="font-weight: bold; text-decoration: none;">]]</ins> 2.5-<ins style="font-weight: bold; text-decoration: none;">5 mg</ins> sc stat once + <ins style="font-weight: bold; text-decoration: none;">[[</ins>haloperidol<ins style="font-weight: bold; text-decoration: none;">]] 5</ins> <ins style="font-weight: bold; text-decoration: none;">mg</ins> sc stat</div></td> </tr> <tr> <td colspan="2" class="diff-empty diff-side-deleted"></td> <td class="diff-marker"><a class="mw-diff-movedpara-right" title="Paragraph was moved. Click to jump to old location." href="#movedpara_5_6_lhs">&#x26AB;</a></td> <td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div><a name="movedpara_2_11_rhs"></a><ins style="font-weight: bold; text-decoration: none;">*</ins>*Or <ins style="font-weight: bold; text-decoration: none;">[[</ins>methotrimeprazine<ins style="font-weight: bold; text-decoration: none;">]]</ins> <ins style="font-weight: bold; text-decoration: none;">25 mg</ins> sc stat then po/sc</div></td> </tr> <tr> <td colspan="2" class="diff-empty diff-side-deleted"></td> <td class="diff-marker"><a class="mw-diff-movedpara-right" title="Paragraph was moved. Click to jump to old location." href="#movedpara_5_7_lhs">&#x26AB;</a></td> <td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div><a name="movedpara_2_12_rhs"></a><ins style="font-weight: bold; text-decoration: none;">*</ins>*Follow with <ins style="font-weight: bold; text-decoration: none;">[[</ins>haloperidol<ins style="font-weight: bold; text-decoration: none;">]]</ins> 2.5-<ins style="font-weight: bold; text-decoration: none;">5 mg</ins> sc q30min prn (max 10-<ins style="font-weight: bold; text-decoration: none;">15 mg</ins>/day)</div></td> </tr> <tr> <td colspan="2" class="diff-empty diff-side-deleted"></td> <td class="diff-marker" data-marker="+"></td> <td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>*Sundowning</div></td> </tr> <tr> <td colspan="2" class="diff-empty diff-side-deleted"></td> <td class="diff-marker"><a class="mw-diff-movedpara-right" title="Paragraph was moved. Click to jump to old location." href="#movedpara_5_8_lhs">&#x26AB;</a></td> <td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div><a name="movedpara_2_14_rhs"></a>*<ins style="font-weight: bold; text-decoration: none;">*[[</ins>Methotrimeprazine<ins style="font-weight: bold; text-decoration: none;">]]</ins> qhs</div></td> </tr> <tr> <td colspan="2" class="diff-empty diff-side-deleted"></td> <td class="diff-marker" data-marker="+"></td> <td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>*Alternatives</div></td> </tr> <tr> <td colspan="2" class="diff-empty diff-side-deleted"></td> <td class="diff-marker"><a class="mw-diff-movedpara-right" title="Paragraph was moved. Click to jump to old location." href="#movedpara_5_9_lhs">&#x26AB;</a></td> <td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div><a name="movedpara_2_16_rhs"></a>*<ins style="font-weight: bold; text-decoration: none;">*[[</ins>Quetiapine<ins style="font-weight: bold; text-decoration: none;">]]</ins></div></td> </tr> <tr> <td colspan="2" class="diff-empty diff-side-deleted"></td> <td class="diff-marker"><a class="mw-diff-movedpara-right" title="Paragraph was moved. Click to jump to old location." href="#movedpara_5_10_lhs">&#x26AB;</a></td> <td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div><a name="movedpara_2_17_rhs"></a>*<ins style="font-weight: bold; text-decoration: none;">*[[</ins>Risperidone<ins style="font-weight: bold; text-decoration: none;">]]</ins></div></td> </tr> <tr> <td colspan="2" class="diff-empty diff-side-deleted"></td> <td class="diff-marker"><a class="mw-diff-movedpara-right" title="Paragraph was moved. Click to jump to old location." href="#movedpara_5_11_lhs">&#x26AB;</a></td> <td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div><a name="movedpara_2_18_rhs"></a>*<ins style="font-weight: bold; text-decoration: none;">*[[</ins>Olanzapine<ins style="font-weight: bold; text-decoration: none;">]]</ins></div></td> </tr> <tr> <td class="diff-marker"></td> <td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br /></td> <td class="diff-marker"></td> <td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br /></td> </tr> <tr> <td class="diff-marker"></td> <td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>===Non-pharmacologic===</div></td> <td class="diff-marker"></td> <td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>===Non-pharmacologic===</div></td> </tr> <tr> <td colspan="2" class="diff-lineno">Line 85:</td> <td colspan="2" class="diff-lineno">Line 104:</td> </tr> <tr> <td class="diff-marker"></td> <td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>*Correct sensory deficits (glasses, hearing aids)</div></td> <td class="diff-marker"></td> <td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>*Correct sensory deficits (glasses, hearing aids)</div></td> </tr> <tr> <td class="diff-marker"></td> <td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>*Gentle, repeated reassurances (but labour intensive)</div></td> <td class="diff-marker"></td> <td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>*Gentle, repeated reassurances (but labour intensive)</div></td> </tr> <tr> <td class="diff-marker" data-marker="−"></td> <td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>*Do not use physical restraints<del style="font-weight: bold; text-decoration: none;"> Pharmacologic Mild</del></div></td> <td class="diff-marker" data-marker="+"></td> <td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>*Do not use physical restraints</div></td> </tr> <tr> <td class="diff-marker"><a class="mw-diff-movedpara-left" title="Paragraph was moved. Click to jump to new location." href="#movedpara_2_3_rhs">&#x26AB;</a></td> <td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div><a name="movedpara_5_0_lhs"></a>*Elderly: <del style="font-weight: bold; text-decoration: none;">Haloperidol</del> 0.<del style="font-weight: bold; text-decoration: none;">5mg</del> PO/SQ/IV/IM q4h prn</div></td> <td colspan="2" class="diff-empty diff-side-added"></td> </tr> <tr> <td class="diff-marker"><a class="mw-diff-movedpara-left" title="Paragraph was moved. Click to jump to new location." href="#movedpara_2_4_rhs">&#x26AB;</a></td> <td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div><a name="movedpara_5_1_lhs"></a>*End-of-life: <del style="font-weight: bold; text-decoration: none;">Haloperidol</del> 0.5-<del style="font-weight: bold; text-decoration: none;">1mg</del> po or subcut daily or BID + haloperidol 0.5-<del style="font-weight: bold; text-decoration: none;">1mg</del> po/SC q1h prn<del style="font-weight: bold; text-decoration: none;"> Moderate</del></div></td> <td colspan="2" class="diff-empty diff-side-added"></td> </tr> <tr> <td class="diff-marker"><a class="mw-diff-movedpara-left" title="Paragraph was moved. Click to jump to new location." href="#movedpara_2_6_rhs">&#x26AB;</a></td> <td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div><a name="movedpara_5_2_lhs"></a>*Haloperidol 2-2.<del style="font-weight: bold; text-decoration: none;">5mg</del> po/sc bid or tid + haloperidol <del style="font-weight: bold; text-decoration: none;">2mg</del> po/sc q1h prn</div></td> <td colspan="2" class="diff-empty diff-side-added"></td> </tr> <tr> <td class="diff-marker"><a class="mw-diff-movedpara-left" title="Paragraph was moved. Click to jump to new location." href="#movedpara_2_7_rhs">&#x26AB;</a></td> <td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div><a name="movedpara_5_3_lhs"></a>*Or methotrimeprazine 5-12.<del style="font-weight: bold; text-decoration: none;">5mg</del> po/sc bid or tid + prn<del style="font-weight: bold; text-decoration: none;"> Severe</del></div></td> <td colspan="2" class="diff-empty diff-side-added"></td> </tr> <tr> <td class="diff-marker"><a class="mw-diff-movedpara-left" title="Paragraph was moved. Click to jump to new location." href="#movedpara_2_9_rhs">&#x26AB;</a></td> <td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div><a name="movedpara_5_4_lhs"></a>*Elderly: haloperidol <del style="font-weight: bold; text-decoration: none;">1mg</del>, or quetiapine 12.<del style="font-weight: bold; text-decoration: none;">5mg</del> if long QT</div></td> <td colspan="2" class="diff-empty diff-side-added"></td> </tr> <tr> <td class="diff-marker"><a class="mw-diff-movedpara-left" title="Paragraph was moved. Click to jump to new location." href="#movedpara_2_10_rhs">&#x26AB;</a></td> <td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div><a name="movedpara_5_5_lhs"></a>*Midazolam 2.5-<del style="font-weight: bold; text-decoration: none;">5mg</del> sc stat once + haloperidol <del style="font-weight: bold; text-decoration: none;">5mg</del> sc stat</div></td> <td colspan="2" class="diff-empty diff-side-added"></td> </tr> <tr> <td class="diff-marker"><a class="mw-diff-movedpara-left" title="Paragraph was moved. Click to jump to new location." href="#movedpara_2_11_rhs">&#x26AB;</a></td> <td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div><a name="movedpara_5_6_lhs"></a>*Or methotrimeprazine <del style="font-weight: bold; text-decoration: none;">25mg</del> sc stat then po/sc</div></td> <td colspan="2" class="diff-empty diff-side-added"></td> </tr> <tr> <td class="diff-marker"><a class="mw-diff-movedpara-left" title="Paragraph was moved. Click to jump to new location." href="#movedpara_2_12_rhs">&#x26AB;</a></td> <td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div><a name="movedpara_5_7_lhs"></a>*Follow with haloperidol 2.5-<del style="font-weight: bold; text-decoration: none;">5mg</del> sc q30min prn (max 10-<del style="font-weight: bold; text-decoration: none;">15mg</del>/day)<del style="font-weight: bold; text-decoration: none;"> Subdowning</del></div></td> <td colspan="2" class="diff-empty diff-side-added"></td> </tr> <tr> <td class="diff-marker"><a class="mw-diff-movedpara-left" title="Paragraph was moved. Click to jump to new location." href="#movedpara_2_14_rhs">&#x26AB;</a></td> <td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div><a name="movedpara_5_8_lhs"></a>*Methotrimeprazine qhs<del style="font-weight: bold; text-decoration: none;"> Alternatives</del></div></td> <td colspan="2" class="diff-empty diff-side-added"></td> </tr> <tr> <td class="diff-marker"><a class="mw-diff-movedpara-left" title="Paragraph was moved. Click to jump to new location." href="#movedpara_2_16_rhs">&#x26AB;</a></td> <td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div><a name="movedpara_5_9_lhs"></a>*Quetiapine</div></td> <td colspan="2" class="diff-empty diff-side-added"></td> </tr> <tr> <td class="diff-marker"><a class="mw-diff-movedpara-left" title="Paragraph was moved. Click to jump to new location." href="#movedpara_2_17_rhs">&#x26AB;</a></td> <td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div><a name="movedpara_5_10_lhs"></a>*Risperidone</div></td> <td colspan="2" class="diff-empty diff-side-added"></td> </tr> <tr> <td class="diff-marker"><a class="mw-diff-movedpara-left" title="Paragraph was moved. Click to jump to new location." href="#movedpara_2_18_rhs">&#x26AB;</a></td> <td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div><a name="movedpara_5_11_lhs"></a>*Olanzapine</div></td> <td colspan="2" class="diff-empty diff-side-added"></td> </tr> <tr> <td class="diff-marker"></td> <td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br /></td> <td class="diff-marker"></td> <td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br /></td> </tr> <tr> <td class="diff-marker"></td> <td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>==RASS Scale==</div></td> <td class="diff-marker"></td> <td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>==RASS Scale==</div></td> </tr> </table>

Aidan https://idwiki.org/index.php?title=Delirium&diff=7599&oldid=prev 2021-02-22T20:22:26Z

<p></p> <a href="https://idwiki.org/index.php?title=Delirium&amp;diff=7599&amp;oldid=4167">Show changes</a>

Aidan https://idwiki.org/index.php?title=Delirium&diff=4167&oldid=prev 2020-07-04T01:17:30Z

<p>Imported from text file</p> <p><b>New page</b></p><div>== Definition ==<br /> <br /> * An acute brain dysfunction syndrome of fluctuating levels of consciousness<br /> * Cardinal features:<br /> ** altered mental status and &#039;&#039;fluctuating course&#039;&#039;<br /> ** &#039;&#039;inattention&#039;&#039;<br /> ** altered &#039;&#039;level of consciousness&#039;&#039; (i.e. RASS not zero) OR &#039;&#039;disorganized thinking&#039;&#039;<br /> <br /> == Differential Diagnosis ==<br /> <br /> === Life-threatening causes (WHHHHIMPS) ===<br /> <br /> * Wernicke&#039;s or EtOH withdrawal<br /> * Hypoxia/Hypercarbia<br /> * Hypoglycemia<br /> * Hypertensive emergency<br /> * Hyperthermia/Hypothermia<br /> * Intracerebral hemorrhage<br /> * Meningitis/Encephalitis<br /> * Poisoning<br /> * Status epilepticus<br /> <br /> === DIMES ===<br /> <br /> * Drugs<br /> ** Iatrogenic<br /> *** Polypharmacy<br /> *** Opioids (too much or too little)<br /> *** Diphenhydramine<br /> *** Benxodiaepines<br /> ** Abuse<br /> *** Alcohol<br /> ** Poisoning<br /> ** Withdrawal<br /> *** Alcohol<br /> *** Benzodiazepines<br /> * Infections<br /> ** Septicemia<br /> ** Pneumonia<br /> ** Urinary tract infection<br /> ** Skin infection or ulcer<br /> * Metabolic<br /> ** Endocrine: thyroid, parathyroid, pancreas, pituitary, adrenals<br /> ** Electrolytes: sodium, calcium, magnesium, potassium<br /> ** Hypoglycemia/hyperglycemia<br /> ** Hypoxemia/Hypercarbia<br /> ** Hypoosmolar/Hyperosmolar<br /> ** Inborn errors of metabolism: porphyria, Wilson&#039;s disease<br /> ** Nutrition: Wernicke&#039;s, B12 deficiency, niacin deficiency<br /> * Environmental<br /> ** Surroundings, room changes<br /> * Structures &amp;amp; organs<br /> ** CNS<br /> *** Stroke<br /> *** Brain injury<br /> *** Seizures<br /> ** Cardiac: heart failure<br /> ** Renal: AKI/CKD<br /> ** Gastrointestinal: constipation, volvulus<br /> ** Genitourinary: retention<br /> <br /> == Management ==<br /> <br /> Treat underlying causes<br /> <br /> === Pharmacologic ===<br /> <br /> * Opioid neurotoxicity:<br /> ** Switch opioid<br /> ** Dose reduction<br /> ** Hydration<br /> * Medications: Stop medication<br /> * Dehydration: IV or Hypodermoclesis (fluid given subcutaneously)<br /> * Hypercalcemia: IV bisphosphonate (zoledronate/pamidronate)<br /> * Infection: Antibiotics<br /> * Hepatic encepalopathy: Lactulose<br /> * Brain metastases: Corticosteroids<br /> <br /> === Non-pharmacologic ===<br /> <br /> * Reduce stimulation<br /> * Low ambient light<br /> * Low noise<br /> * Correct sensory deficits (glasses, hearing aids)<br /> * Gentle, repeated reassurances (but labour intensive)<br /> * Do not use physical restraints Pharmacologic Mild<br /> * Elderly: Haloperidol 0.5mg PO/SQ/IV/IM q4h prn<br /> * End-of-life: Haloperidol 0.5-1mg po or subcut daily or BID + haloperidol 0.5-1mg po/SC q1h prn Moderate<br /> * Haloperidol 2-2.5mg po/sc bid or tid + haloperidol 2mg po/sc q1h prn<br /> * Or methotrimeprazine 5-12.5mg po/sc bid or tid + prn Severe<br /> * Elderly: haloperidol 1mg, or quetiapine 12.5mg if long QT<br /> * Midazolam 2.5-5mg sc stat once + haloperidol 5mg sc stat<br /> * Or methotrimeprazine 25mg sc stat then po/sc<br /> * Follow with haloperidol 2.5-5mg sc q30min prn (max 10-15mg/day) Subdowning<br /> * Methotrimeprazine qhs Alternatives<br /> * Quetiapine<br /> * Risperidone<br /> * Olanzapine<br /> <br /> == RASS Scale ==<br /> <br /> [[Category:Neurology]]<br /> [[Category:Psychiatry]]<br /> [[Category:Geriatrics]]</div>

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