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im e s d a ily (for p r e c a utions , s e e delirium tremens be low ) + IV hyd r a tion (2 to 4
litr e s
0 .9 % s od ium c hlor id e / 2 4 hour s ) + thiamine I M a s a bov e .
In c a s e of d e lir ium tr e m e ns (D T ):
v e n tila tion e q uip m e n t ne a r a t h a n d . T he goa l is to a c hie v e m ild s e d a tion
w ith out
p r ov okin g r e s p ir a t or y d e p r e s s ion . T h e d os e s a n d d ur a tion of t h e
trea tm ent a re
a d a p te d a c c or d ing to the c linic a l p r ogr e s s .
– IV hyd r a tion: 2 to 4 litr e s 0 .9 % s od ium c hlor id e / 2 4 hour s .
– A d m inis te r thiamine I M : 1 0 0 m g/ d a y for a t le a s t 3 d a ys .
– M onitor v ita l s igns a nd blood gluc os e le v e ls .
293
– A d m it the p a tie nt to a n inte ns iv e c a r e unit.
– A d m inis te r diazepam IV : 1 0 to 2 0 m g 4 to 6 tim e s / d a y, und e r c los e s up e r v is io
w ith 11
– A d d chlorpromazine I M if ne c e s s a r y: 2 5 to 5 0 m g 1 to 3 tim e s / d a y.
litr e s
0 .9 % s od ium c hlor id e / 2 4 hour s ) + thiamine I M a s a bov e .
In c a s e of d e lir ium tr e m e ns (D T ):
v e n tila tion e q uip m e n t ne a r a t h a n d . T he goa l is to a c hie v e m ild s e d a tion
w ith out
p r ov okin g r e s p ir a t or y d e p r e s s ion . T h e d os e s a n d d ur a tion of t h e
trea tm ent a re
a d a p te d a c c or d ing to the c linic a l p r ogr e s s .
– IV hyd r a tion: 2 to 4 litr e s 0 .9 % s od ium c hlor id e / 2 4 hour s .
– A d m inis te r thiamine I M : 1 0 0 m g/ d a y for a t le a s t 3 d a ys .
– M onitor v ita l s igns a nd blood gluc os e le v e ls .
293
– A d m it the p a tie nt to a n inte ns iv e c a r e unit.
– A d m inis te r diazepam IV : 1 0 to 2 0 m g 4 to 6 tim e s / d a y, und e r c los e s up e r v is io
w ith 11
– A d d chlorpromazine I M if ne c e s s a r y: 2 5 to 5 0 m g 1 to 3 tim e s / d a y.
