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delirium tremens

The most severe form of alcohol withdrawal, with sudden confusion and overactivity of the nervous system.

dih-LEER-ee-um TREE-menz noun

What it means

It usually begins about 2 to 4 days after the last drink in a person who has been drinking heavily for a long time. Signs include confusion, hallucinations, shaking, fever, sweating, a fast heart and high blood pressure, and seizures can occur. It can be fatal without treatment.

For the nurse

Ask every client about alcohol use. Monitor withdrawal with a scale such as CIWA-Ar, give benzodiazepines as ordered, and keep the room quiet and well lit with seizure precautions in place. Thiamine is usually given.

At a glance

Spanishdelirium tremens
Also writtenDTs

Related terms

delirium

A sudden state of confusion and poor attention that comes and goes over hours or days.

hallucination

Hearing, seeing, feeling, smelling or tasting something that is not really there.

seizure

A sudden burst of abnormal electrical activity in the brain that changes movement, feeling, behavior or awareness.

addiction

A long-term condition in which a person keeps using a substance or doing a behavior despite the harm it causes.

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