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Immediate priorities
Stabilization priorities
Airway protection triggers
GCS < 8
Refractory vomiting with aspiration risk
Severe agitation preventing oxygenation or monitoring
Breathing targets
SpO2 94% to 98%
If chronic hypercapnia risk, SpO2 88% to 92%
Circulation targets
MAP at least 65 mmHg
SBP at least 90 mmHg
Immediate reversible causes of delirium
Hypoglycemia
Hypoxia
Hyperthermia
Sepsis
High risk withdrawal recognition
Delirium tremens features
Delirium
Autonomic hyperactivity
Severe agitation
Hallucinations
Onset typically 48 to 96 hours after last drink
Withdrawal seizure risk window
6 to 48 hours after last drink
Wernicke encephalopathy risk
Confusion
Ataxia
Ophthalmoplegia or nystagmus
Monitoring and environment
Cardiorespiratory monitoring
Continuous ECG
Continuous pulse oximetry
Frequent noninvasive BP
Safety measures
Low stimulation room
1 to 1 observation for severe agitation
Fall precautions
Early escalation triggers
ICU indications
Delirium tremens
Recurrent seizures
Benzodiazepine resistant withdrawal
Need for continuous sedative infusion
Severe comorbidity
Airway team activation
Escalating sedation requirement with loss of airway reflexes
Persistent hypoventilation
Parallel actions bundle
Thiamine before glucose
Thiamine IV before any dextrose containing fluids when malnutrition risk
Glucose treatment not delayed if severe hypoglycemia
Electrolyte correction priorities
Potassium
Magnesium
Phosphate
Co-ingestant and alternate diagnosis screen
Head trauma
CNS infection
Hepatic encephalopathy
Toxic ingestion
Risk stratification and severity targets
Severity framework
Mild withdrawal
Tremor
Anxiety
Insomnia
Moderate withdrawal
Marked autonomic symptoms
Nausea or vomiting
Perceptual disturbances without delirium
Severe withdrawal
Seizure
Delirium
Severe autonomic instability
Treatment strategy selection
Symptom triggered benzodiazepines
Appropriate for mild to moderate withdrawal
Requires reliable scoring and monitoring
Fixed dose benzodiazepines
Appropriate when scoring unreliable
Cognitive impairment
History of severe withdrawal
Front loading
Diazepam based when rapid control needed and hepatic function adequate
Phenobarbital based strategy
Benzodiazepine resistant withdrawal
High risk severe withdrawal at presentation
Clinical targets
Agitation control
Calm but arousable
Able to protect airway
Autonomic stabilization
HR trending down
BP trending down
Temperature trending to normal
SymptomDx is an educational tool for medical professionals. It does not replace clinical judgment. Verify all clinical data and drug dosages with authoritative sources.