Thiamine is introduced at a daily dose of ...

Thiamine is introduced at a daily dosage of 5001000 mg. It was at these doses using thiamine can increase the level of oxidative processes and reduce the severity of cerebral hypoxia. In addition, we introduce vitamins C, B6, PP. The range of prescribed drugs must include ethyl alcohol. Using alcohol to arrest severe delirium tremens is impossible, but ethanol helps stabilize the situation and buy time for intensive care. Sustained hyperthermia eliminated by introducing 2 ml of 50% of metamizol sodium in the great vessels are superimposed bubbles with ice. Extremely helpful is the introduction of a day to 30 g piracetam. Infusion therapy is conducted over 1,236 hours. It stops when the normal physical condition and sleep comes. In the coming days after arresting severe delirium tremens marked drowsiness, severe fatigue with increased exhaustibility. At this stage lasts vitamin, is introduced nootropil to 812 grams per day. It is best to carry out treatment of patients with severe delirium tremens in the intensive care unit, where there are opportunities for long-term infusion therapy under laboratory control. Therapy of patients with acute alcoholic hallucinosis constructed taking into account the fact that this psychosis, there is no significant violations of homeostasis. To eliminate the affect of fear and the normalization of behaviors were successfully used chlorpromazine (50 mg 3 times daily), levomepromazine. It later turned out that it is safer to use drugs such as haloperidol, triftazin, zuklopentiksol. Usually introduced by intramuscular injection 1015 mg and 2040 mg haloperidol diazepam. Sometimes combined with haloperidol hlorprotiksenu (15 mg 3 times a day). Antipsychotic drugs administered to until disappear verbal hallucinations. Seeking to normalize sleep. If, after the abolition of antipsychotics renewed verbal hallucinosis is necessary to exclude the presence of endogenous mental illness. All the patients underwent vitamin. Since 30% of the typical delirium tremens begins with the appearance of abundant auditory illusions of perception, the construction of therapy always take into account neurological disorders. In the presence of generalized tremor, ataxia, a rough, profuse sweating therapy is the same as in case of delirium. If alcoholic hallucinosis takes a protracted course, it is necessary to continue antipsychotic treatment. In some cases it is expedient to attach hypoglycemic insulin. Then in the morning, inject insulin, a second antipsychotic. In some cases prolonged hallucinosis accompanied by a decline in mood and appearance of more or less pronounced depressive symptoms. In these cases, can be attached to antidepressants. Appointment of antipsychotics patients with chronic alcoholic hallucinosis does not lead to the disappearance of verbal hallucinations. Neuroleptics can only eliminate the aggravation of symptoms caused by another alcoholic excesses.