Treatment for Delirium

In addition, the symptoms of delirium can be alleviated by:

Non-pharmacologic measures:
  • A quiet, well lit room
  • Have a family member present to relieve anxiety
  • Avoid physical restraints
Non-pharmacologic measures:
  • Neuroleptics: Haloperidol or chlorpromazine
  • Dosing similar to opioids for pain—give enough to reduce the target symptom, there is no maximum dose.
  • Starting dose of Haloperidol is 1-2 mg; can be given every hour as needed to reduce symptoms until the patient has stabilized, then converted to a dose given every 6-12 hours.

Avoid benzodiazepenes: They can paradoxically worsen symptoms 

References

  1. Fast Fact and Concept # 060 - Pharmacologic Management of Delirium; Update on Newer Agents