![]() |
|
Antipsychotics
Haloperidol (Haldol) 2 mg po (or 1 mg IV/SC) q2hrs until settled then q 6-8 hrs prn Chlorpromazine (Thorazine) 25 mg IV/IM q6hrs prn (esp if sleep desired) Quetiapine (Seroquel) 50 mg start, increase to 100-300 mg qday (preferred in Parkinson's dz) Olanzapine (Zyprexa) 5-10 mg qday Risperidone (Risperdal) 2 mg qday, increase to 4-8 mg qday |
Benzodiazepines
Not effective for delerium, but may be added for sedation, especially in terminal delerium |
Treat precipitating factors:
Drugs/toxins (consider opioid rotation) Sepsis Metabolic (hypoxia, hypercapnia, dehydration, electrolytes, thyroid, glucose, nutrition) Brain disorders (infection, seizure, psychiatric) Systemic organ failure (cardiac, hepatic, renal, hematologic, pulmonary) Physical disorders (burns, hypothermia, hyperthermia, trauma) |