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Delirium, not caused by alcohol or other psychoactive substances. Abstinence with delirium associated with the use of psychoactive substances


ICD-10 Code
Delirium not caused by alcohol or other psychoactive substances
F05
F10- F19

Abstinence with delirium associated with the use of psychoactive substances
F10.4,
F11.4
F12.4
F13.4
F14.4
F15.4
F16.4
F17.4
F18.4
F19.4
Diagnostics
When making a diagnosis

Mandatory
Level of consciousness, pupil size, neurological status, symptoms of lesions of the cranial nerves, muscle tone, reflexes, meningeal symptoms, careful examination to exclude trauma, abdominal pathology, blood pressure, heart rate, BH, ECG body temperature
R-graphy of the chest organs
Laboratory tests: blood glucose, CBS parameters, blood gases, hemoglobin, electrolytes (K, Na, Mg, Ca, Cl), coagulability (APTT, PTV), leukocytes, blood formula, urea, creatinine, bilirubin, AlAT, AsAT, KFK a-amylase

Additional (by indications)
LP
CT
Toxicological tests, in case of suspected infection - relevant bacteriological studies

In the process of treatment
monitoring according to p.
1.5., Level of consciousness, neurological status
Laboratory tests: glucose, determination of parameters of CBS, saturation of hemoglobin, blood gases,
electrolytes, diuresis, fluid balance

Treatment
Ensuring adequate ventilation of the lungs, inhalation of oxygen. Venous access - replenishment of fluid deficiency, 9% sodium chloride. Prevention of Gaie-Wernicke syndrome - thiamine 100 mg IV (given before or simultaneously with glucose), maintenance dose - 25 mg / day. Correction of hypoglycemia - concentrated glucose solution
Magnesium sulfate 2 g / day. In / in the form of an infusion for 20 minutes.
Sedation:
Haloperidol - 0.5 - 1 mg IV
Diazepam 5 mg / v every 5-15 min. until sedation is reached (large doses may be required)
Barbiturates - phenobarbital 130 mg IV in 1-2 minutes, every 5-15 minutes. to achieve the required level of sedation
In case of respiratory depression - tracheal intubation and mechanical ventilation. General measures (see paragraph 1.6.2.)
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Delirium, not caused by alcohol or other psychoactive substances. Abstinence with delirium associated with the use of psychoactive substances

  1. Psychoactive substances
    Over the past decade, the problem of drug addiction in Russia has become one of the most acute and painful social problems. At a meeting of the Security Council of Russia in June 1999. it was considered as one of the real threats to the public health of the population. Under the supervision of dispensaries by the end of the first half of 2000. there were 350 thousand drug addicts, or an increase in their number in the 90s.
  2. Delirium
    Delirium is a short-term (from several hours to several days, rarely weeks) exogenous psychosis of an infectious, toxic, vascular, traumatic origin. Delirium is the most common disorder of confusion recorded by emergency medical practitioners. ETIOLOGY AND PATHOGENESIS Delirium can develop in alcoholism (delirium tremens) and other types of drug addiction (more often in
  3. Narcotic drugs, signs and effects of their use
    Narcotic drugs, signs and their effects
  4. Confusion and delirium
    Confusion is a condition in which the patient is not able to think with ordinary speed and clarity. Depends on many factors, it can be one of the stages of development of stupor and coma or exit from these states. With the development of the process of contact with the patient is becoming increasingly difficult. The patient answers the asked questions in a monosyllabic, sometimes with their persistent repetition, or does not respond. Delirium is
  5. SATURITY OF CONSCIOUSNESS AND DELIA
    Confusion is a condition in which the patient is not able to think with ordinary speed and clarity. Depends on many factors, it can be one of the stages of development of stupor and coma or exit from these states. With the development of the process of contact with the patient is becoming increasingly difficult. The patient answers the asked questions in a monosyllabic, sometimes with their persistent repetition, or does not respond. Delirium -
  6. Seizures caused by toxic substances
    1. What toxic substances can cause seizures? • Organophosphates and carbamates. • Chlorinated hydrocarbons. • Pyrethrinth. • Strychnine. • Metaldehyde. • Lead. • Caffeine. • Pseudoephedrine. • Ethylene glycol. • Drugs. 2. How important is the collection of anamnesis in determining the type of substance that caused the development of seizures? Anamnesis is very important, especially if you suspect that seizures
  7. Sanitary requirements and rules for working with radioactive substances and other sources of ionizing radiation
    Production, processing, use, storage and transportation of radioactive substances, other sources of ionizing radiation; the processing and disposal of radioactive waste is carried out under the supervision of bodies and institutions of the sanitary and epidemiological service, which are provided with the necessary information to assess the possible radiation hazard to personnel and the public.
  8. Pathology caused by taking drugs
    Pathology caused by the use of medicinal substances is expressed in adverse drug reactions that develop in response to the use of a medicinal product for the treatment, diagnosis or prophylaxis in the usual dosage. In Russia, the terms "drug disease", "drug pathology" are common, which are included in the broader concept of "iatrogenic pathology" (iatrogenic from Greek. Iftros is a doctor and
  9. SATISFACTION OF CONSCIOUSNESS, DELIUM, AMNESIA AND DEEMONIA
    Maurice Victor, Raymond D. Adams (Maurice Victor, Raymond D. Adams) Each physician must, with complete objectivity, assess the characteristics of the patient’s character, his intellect, mood, memory, judgments, and other attributes of personality and behavior. The study of these emotional and cognitive functions will allow the doctor to draw certain conclusions regarding the mental status of the patient. Without this data
  10. FROZEN, DELYRIA, COMA
    FROZEN, DELIRIUM,
  11. Syncope, delirium, coma
    Syncope, delirium,
  12. Delirium in the structure of organic psychosyndrome
    The clinical picture is manifested by impaired consciousness, illusions and hallucinations, an incorrect understanding of the events, a violation of the sleep-wake cycle and fluctuations in the severity of these disorders during the day. The basic rule for treating these types of delirious disorders is to detect the cause (organic brain damage), conduct causal and
  13. Disorder of sexual function associated with metabolic disorders (nutritional impotence)
    Etiology. Occurs in manufacturing bulls with protein overfeeding (the content in the diet is more than 50% of concentrated feed for the overall nutritional value), lack of carbohydrate in the diet (sugar-protein ratio less than 0.8: 1.0), vitamins (for 1 cu. less than 70 mg of carotene, 1500 IU of vitamin D and less than 40 mg of vitamin E), mineral substances (for 1 ke, calcium is less than 7 grams, phosphorus -
  14. Storm, or the influence of many substances
    In my work, I had to learn to think about toxicity in such a way that it would enable me to help my patients. It was too difficult to consider each toxin separately and trying to isolate the damage it caused to them. When I took a step back and, refusing to study in detail the behavior of individual molecules, I focused on the organism as a whole, in front of me
  15. Dysfunction of the nervous system caused by hereditary metabolic disorders
    Disorders of the nervous system in congenital metabolic disorders result from the influence of several factors: • direct damage to nerve cells due to the lack of any enzyme; • accumulation of certain undigested metabolic products outside the cellular fluid; • damage to other organs (eg, liver); • damage to cerebral vessels.
  16. Drop, or the effect on the body of one substance
    Toxins can disrupt our physiological processes in many ways. They can make it completely unique, such as arsenic, a deadly poison that blocks the access of oxygen, which is necessary for the metabolism of glucose. Toxins can affect the enzyme needed to perform an important body function. Or continually stimulate any specific function so that it
  17. Acute pulmonary edema caused by chemicals, gases, fumes and vapors of increased permeability of the alveolocapillary membrane (inhalation of corrosive liquids, anaphylaxis)
    ICD-10 cipher J68.1 Diagnosis When making a diagnosis Mandatory Level of consciousness, respiration rate and efficiency, heart rate, pulse, ECG BP R-graphy of the chest organs Laboratory tests: hemoglobin, blood gases, KOS values, electrolytes (K, Na, Mg, Ca, Cl), blood glucose, leukocytes, blood formula, enzymes (CK), urea, creatinine Additional (if indicated) ultrasound
  18. Metabolism decompensation (ketoacidosis, diabetic coma hyperosmolar acidotic or non-acidotic, lactic acidosis)
    Insufficient influence of endogenous insulin (for example, bacterial complications) and / or insufficient administration of exogenous insulin (use of insulin syringes with a poorly fitted piston!) Leads to an increase in plasma glucagon and progressive decompensation of metabolism, a severe form of which is diabetic coma (Gerich et al .). Hyperglycemia and significant disorders
  19. Acute tonsillitis caused by other specified pathogens. U-03.8
    {foto11} Treatment outcome: Clinical criteria for improving the patient's condition: 1. Normalization of temperature. 2. Normalization of laboratory parameters. 3. Improving the clinical symptoms of the disease (pain, difficulty swallowing, purulent
  20. Acute pharyngitis caused by other specified pathogens. U-02.8
    Outcome of treatment: Clinical criteria for improving the patient's condition: 1. Normalization of temperature. 2. Normalization of laboratory parameters. 3. Improvement of the clinical symptoms of the disease (pain, difficulty swallowing, purulent discharge from
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