Possible Causes for agitated delirium Substance Abuse Alcohol withdrawal may involve delirium tremens, extreme agitation and seizures 39. [americanaddictioncenters.org] Hypoglycemia 2015 ICD-9-CM Diagnosis Code 251.2 Hypoglycemia, unspecified 2015 Billable Thru Sept 30/2015 Non-Billable On/After Oct 1/2015 ICD-9-CM 251.2 is a billable medical code that can be used to indicate a diagnosis on a reimbursement claim, however, 251.2 should only be used for claims with a date of service on or before[…] [icd9data.com] Acute Amphetamine Intoxication Tachycardia Diaphoresis Mydriasis Severe intoxication characterized by: Tachycardia HTN Hyperthermia Agitated delirium Seizures Diaphoresis Hypotension and respiratory distress [emergency.unboundmedicine.com] Patients with evidence of end-organ damage, focal neurological deficits, arrhythmias, delirium, or uncontrolled agitation should be admitted for observation. [cancertherapyadvisor.com] Delirium Hyperactivity Tremors Dizziness Mydriasis Headache Choreoathetoid movements Hyperreflexia Cerebrovascular accident Seizures and status epilepticus Coma Psychiatric [emergency.unboundmedicine.com] Alcohol Withdrawal A significant number of patients with terminal cancer experience terminal restlessness or an agitated delirium in the final days of life. [ncbi.nlm.nih.gov] Low-risk patients with no history of agitated delirium or risk factors receive lorazepam PRN triggered by CIWA scores. [todayshospitalist.com] Symptoms typical of withdrawal include agitation, delirium tremens (DTs), and seizures. [dbpedia.org] Crack Ingestion […] if refractory to sedation: verapamil 5mg IV, or adenosine 6-12 mg IV Electrical cardioversion if unstable Seizures and agitated delirium 5 mg diazepam IV q2-5min until seizures [lifeinthefastlane.com] delirium, psychosis, muscle rigidity, or hyperactivity Seizures usually brief and self-limited Coma resulting from intracranial hemorrhage, post-ictal state, or hyperthermia [calsprogram.org] Cocaine excited delirium Apart from the effects of cocaine described above, an important but unusual complication of cocaine use, termed agitated delirium or excited delirium [academic.oup.com] Hyponatremia Hyponatremia is the most common electrolyte disorder in hospitalized patients associated with increased morbidity and mortality. On the other hand, inappropriate treatment of hyponatremia (under- or mainly overtreatment) may also lead to devastating consequences. The appropriate diagnosis of the causative factor[…] [ncbi.nlm.nih.gov] Head Trauma INTRODUCTION: Head injuries represent a concern in skiing and snowboarding, with traumatic brain injuries being the most common cause of death. AIM: To describe the mechanisms of head and face injuries among World Cup alpine and freestyle skiers and snowboarders. METHODS: We performed a qualitative analysis of[…] [ncbi.nlm.nih.gov] Brain Concussion Neuroimaging Clin N Am. 2018 Feb;28(1):15-29. doi: 10.1016/j.nic.2017.09.006. Epub 2017 Oct 27. Author information 1 Diagnostic and Interventional Imaging Department, El Bosque University, Hospital Universitario Fundacion Santa Fe de Bogota, Calle 119 # 7 - 75, Bogota DC 110111, Colombia. Electronic address:[…] [ncbi.nlm.nih.gov] Stroke The therapeutic window for intervention in acute cerebral ischemia is brief. Prehospital identification of acute stroke patients and paramedic administration of neuroprotective agents may soon become critical components of successful acute stroke treatment. This preliminary study sought to demonstrate that a new[…] [ncbi.nlm.nih.gov] Delirium To learn more about how we use cookies, please see our cookies policy Close Intended for healthcare professionals Education Delirium and agitation... [bmj.com] The multimodal and multidisciplinary approach, focused on nursing interventions, strict Pain/Agitation/Delirium monitoring and pharmacological measures, as well as the implementation [ncbi.nlm.nih.gov] Further studies of the prevalence and outcomes of prolonged or persistent agitated delirium in patients with chronic critical illness are needed to provide prognostic information [ncbi.nlm.nih.gov] Overdose Some general symptoms associated with various overdose states include severe chest pain, seizures, severe headaches, difficulty breathing, delirium, extreme agitation, or [americanaddictioncenters.org] Disorientation or mental confusion Severe hypertension Delirium Stroke Cardiac arrest Cardiovascular collapse Irregular or shallow breathing There are no FDA approved treatments [addictioncenter.com] delirium Inhalants: marked CNS depression, loss of consciousness, stupor or coma, arrhythmia, sudden death Marijuana: profound drowsiness, unsteady gait, vomiting, tachycardia [americanaddictioncenters.org] Dehydration Dehydration occurs when your body does not have as much water and fluids as it needs. Dehydration can be mild, moderate, or severe, based on how much of your body's fluid is lost or not replaced. Severe dehydration is a life-threatening emergency. You can become dehydrated if you lose too much fluid, do not[…] [nlm.nih.gov] Septicemia delirium). [ncbi.nlm.nih.gov] For the ensuing 7 days, she experienced hypoactive (ie “quiet”) delirium [measured using the Confusion Assessment Method-ICU 15 ], with several episodes of agitation (hyperactive [ncbi.nlm.nih.gov] Bipolar Disorder It is typical for dementia or delirium to be associated with nighttime agitation and confusion in patients ("sundowning"). [web.archive.org] Bipolarity in the modern sense could not have emerged until it became possible to identify mood disorders without delirium or intellectual disorders; in other words, it required [web.archive.org] In patients with MMSE scores of less than 15, the diagnosis of mania is especially problematic, particularly in distinguishing mania from dementia, delirium, or agitated depression [web.archive.org] Acute Respiratory Distress Syndrome History Acute respiratory distress syndrome (ARDS) is characterized by the development of acute dyspnea and hypoxemia within hours to days of an inciting event, such as trauma, sepsis, drug overdose, massive transfusion, acute pancreatitis, or aspiration. In many cases, the inciting event is obvious, but, in others[…] [emedicine.medscape.com] Hyoscyamus Niger Poisoning […] reversing delirium. [panafrican-med-journal.com] agitation and combative behaviour. [jeremybartlett.co.uk] delirium, seizures, coma, respiratory failure or cardiovascular collapse. [panafrican-med-journal.com] Epilepsy The purpose of this article is to highlight the hallmarks of epilepsy as a disease and symptom during antiquity and especially during Ancient Greece and Rome. A thorough study of texts, medical books, and reports along with a review of the available literature in PubMed was undertaken. Observations on epilepsy date[…] [ncbi.nlm.nih.gov] Pneumococcal Pneumonia We describe a case of bacteremic, leukopenic pneumococcal pneumonia with respiratory failure, accompanied by diabetic ketoacidosis and hypothermia. Pulmonary leukostasis may play a role in the pathogenesis of the acute respiratory distress syndrome (ARDS) in pneumococcal pneumonia. The patient recovered with[…] [ncbi.nlm.nih.gov] Hypoxia Although the terms hypoxia and hypoxemia are often used interchangeably, they are not synonymous. Hypoxemia is defined as a condition where arterial oxygen tension (Pao 2 ) is below normal (normal Pao 2 80–100mmHg). Hypoxia is defined as the failure of oxygenation at the tissue level. It is not measured directly[…] [doi.org] Iodine Poisoning 1979). 9.4.3 Neurological 9.4.3.1 Central nervous system (CNS) Headache, dizziness and delirium have been reported in severe intoxications. [inchem.org] Altered sensorium (agitation, confusion, hallucinations) have occurred in association with elevated serum iodine concentrations, (Alvarez, 1979; Gosselin et al., 1984). [inchem.org] Alcohol Withdrawal Delirium Uncomplicated Withdrawal Shakes Sweating Nausea/Vomiting Mood disturbance Hyperacusis Autonomic symptoms Agitation Delirium Tremens (DTs) Delirium tremens is a delirium specifically [medrevise.co.uk] Symptoms of DT include: Severe agitation Delirium, a condition characterized by confusion with a fluctuating level of consciousness and inattention Tremor Disorientation Persistent [everydayhealth.com] […] or at minimum was worsening their agitation besides all the excellent points above, I think people think that centrally acting meds for agitated delirium will "clear" the [forums.studentdoctor.net] Barbiturate Withdrawal Benzodiazepines occasionally fail to control alcohol withdrawal, and may promote agitated delirium. [emcrit.org] Elderly patients must be carefully monitored for confusion, agitation, delirium, and excitement if they take barbiturates. [minddisorders.com] In higher doses, unpleasant CNS effects of agitation, anxiety, hallucinations, delirium, psychosis, and seizures can occur. [medical.tpub.com] Subdural Hematoma BACKGROUND: Delayed acute subdural hematoma (DASH) is a subdural hematoma which is detected later. An initial computed tomography (CT) does not reveal any intracranial hemorrhage at all. Few patients of DASH after mild traumatic brain injury associated with percutaneous coronary intervention (PCI) have been[…] [ncbi.nlm.nih.gov] Hyperpyrexia Neuroleptic Malignant Syndrome; rare, life-threatening hyperpyrexia caused by antidopaminergic drugs (mostly antipsychotics) Irreversible MAOIs: agitation, delirium, coma, [diki.pl] Acute Hepatic Porphyria delirium, psychosis, ileus that prevents oral intake, or hyponatremia, intravenous administration of hemin is recommended.[10][11] This recommendation is based on the high [ncbi.nlm.nih.gov] […] enough to require hospitalization, opioid analgesia, or other intravenous medication, or that is accompanied by nausea and vomiting, motor neuropathy, paresis, seizures, agitation [ncbi.nlm.nih.gov] Subarachnoid Hemorrhage Aneurysmal subarachnoid hemorrhage (SAH) is a neurological emergency with high risk of neurological decline and death. Although the presentation of a thunderclap headache or the worst headache of a patient's life easily triggers the evaluation for SAH, subtle presentations are still missed. The gold standard for[…] [ncbi.nlm.nih.gov] Metabolic Encephalopathy delirium, to deep coma with decerebrate posturing. [medlink.com] The condition is most commonly seen in older individuals There are 3 types of Delirium: Hyperactive Delirium, which is characterized by restlessness, agitation, rapid mood [dovemed.com] The individual findings that cause a clinician to refer to a person as having encephalopathy include intellectual disability, irritability, agitation, delirium, confusion, [en.wikipedia.org] Salicylate Poisoning Delirium Disorientation Respiratory acidosis Hallucinations Stupor Coma Cardiovascular system collapse Hyperthermia is an indication of severe toxicity, especially in young [nursingcrib.com] Chronic salicylate poisoning may cause anxiety, tachypnoea, diffuse sweating, difficulty concentrating, confusion, hallucinations and even agitated delirium. [patient.info] […] vomiting Tinnitus Diaphoresis or sweating Other Early Sypmtoms Tachycardia Vertigo Hyperventilation Hyperactivity Symptoms occurring as the toxicity or poisoning progresses: Agitation [nursingcrib.com] Leptomeningeal Metastasis A case of leptomeningeal metastasis from lung adenocarcinoma is reported. In this case, we evaluated the feasibility of reverse transcriptased polymerase chain reaction (RT-PCR) methods to detect cancer cells in cerebrospinal fluids (CSF). Messenger RNA of carcinoembryonic antigen (CEA) was clearly demonstrated in[…] [ncbi.nlm.nih.gov] Porphyria Psychiatric manifestations include hysteria, anxiety, depression, phobias, psychosis, organic disorders, agitation, delirium, and altered consciousness ranging from somnolence [ncbi.nlm.nih.gov] Primary survey revealed: hypertension, tachycardia, abdominal pain, severe agitation, and confusion with an encephalopathy consistent with acute delirium, a Glasgow Coma Scale [ncbi.nlm.nih.gov] hallucination, hysteria, delirium, depression), Electrolyte abnormalities (Hyponatremia may be due to hypothalamic involvement leading to SIADH that may lead to seizures [house.wikia.com]
