Manejo do delirium para o clínico geral
DOI:
https://doi.org/10.11606/issn.2176-7262.rmrp.2024.222217Palavras-chave:
Delirium, Estado confusional agudo, Morbimortalidade, Etiologia, TratamentoResumo
O atual artigo, que faz parte de um projeto de educação médica de temas centrais em psiquiatria, visa o aprimoramento de conhecimentos tanto para o estudante de medicina quanto para o médico generalista. Tendo-se em vista a alta prevalência do delirium em populações hospitalares e o mau prognóstico associado, é de extrema importância que não só o seu manejo seja conhecido, mas também medidas que possam prevenir o seu surgimento. O delirium é uma síndrome clínica cujos componentes principais são: alteração da atenção, flutuação do nível de consciência e desorganização do pensamento, de tal forma que tais sintomas flutuam ao decorrer do dia, podendo se apresentar nas formas hiperativa, hipoativa e mista. Há maior prevalência em pacientes graves, sobretudo internados em unidades de tratamento intensivo, e o seu surgimento denota pior prognóstico, assim é de extrema importância a sua prevenção e detecção precoce. O tratamento consiste em tratar a causa base, fator precipitante e administração de antipsicóticos, comumente haloperidol, para as formas hiperativas.
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Copyright (c) 2024 João Roberto Fernandes Lisboa, Luis Felipe Izycki, Hernani Conforti, Alcion Sponholz Junior
Este trabalho está licenciado sob uma licença Creative Commons Attribution 4.0 International License.
