Management of Delirium in Terminally Ill AIDS Patients

Delirium is the most common neuropsychiatric complication of hospitalized AIDS patients. Typically, delirium is multifactorial in etiology and a complete evaluation to rule out all treatable, contributable medical conditions should be the first stage in the approach to a delirious AIDS patient. Whil...

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Bibliographic Details
Published in:International journal of psychiatry in medicine 1989-01, Vol.19 (2), p.165-172
Main Authors: Fernandez, Francisco, Levy, Joel K., Mansell, Peter W. A.
Format: Article
Language:English
Subjects:
Acquired immune deficiency syndrome
Acquired Immunodeficiency Syndrome - complications
AIDS
AIDS/HIV
Biological and medical sciences
Delirium
Delirium - drug therapy
Delirium - etiology
Haloperidol - administration & dosage
Haloperidol - therapeutic use
HIV
Human immunodeficiency virus
Humans
Immunodeficiencies
Immunodeficiencies. Immunoglobulinopathies
Immunopathology
Injections, Intravenous
Lorazepam - administration & dosage
Lorazepam - therapeutic use
Medical sciences
Prospective Studies
Psychiatric Status Rating Scales
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Summary:Delirium is the most common neuropsychiatric complication of hospitalized AIDS patients. Typically, delirium is multifactorial in etiology and a complete evaluation to rule out all treatable, contributable medical conditions should be the first stage in the approach to a delirious AIDS patient. While a search for probable cause is underway, the next goal of treatment should be sedation. To help clinicians recognize and manage delirium in advanced HIV disease, we describe our experience with 206 AIDS patients.
ISSN:0091-2174
1541-3527
DOI:10.2190/FWJP-2YPC-JPFA-LM3N