Alcoholic psychoses

August 12, 2017 17:50 | Symptoms Of Disease

Patients suspected his wife of infidelity, watching her, demanding recognition of adultery;intoxicated become aggressive, can make socially dangerous activity.He is hospitalized in a psychiatric hospital.

Treatment - neuroleptics: chlorpromazine - 200-300 mg / day, triftazin - 20-40 mg / day, 20 to haloperidol 45 mg / day / m.

All these psychoses occur against a background of alcoholism.Symptoms of alcoholism here.

Alcoholic hallucinosis develops against the backdrop of withdrawal;dominated by auditory hallucinations without stupefaction.The patient hears voices (two or more), which are either scolding or protect the patient.He listens to voices, belongs to them at first uncritically, perceiving them as real.Often, patients are agitated, fear and hallucinations under the influence of different make, sometimes dangerous, action.

patients with acute alcoholic hallucinosis urgently stationing in a psychiatric hospital, where he should be under round the clock surveillance.

treatment - detoxification ag

ent: unitiol, glucose, Levomepromazine (Tisercinum) at 50-75 mg / day / m with a simultaneous injection of 2 mL kordiamina.After arresting excitation indicated drugs prescribed antipsychotics antigallyutsinatornogo steps: haloperidol - 10 mg / m 3 times a day, triftazin - 10-15 mg / m 3 times a day, at the same time appoint B vitamins and infusion / 20 ml40% glucose solution.Antipsychotics are administered intramuscularly to the disappearance of hallucinations, and then administered orally, with a gradual reduction in dose.Next, conduct anti-alcohol therapy.

In some cases, for chronic hallucinosis takes, hallucinations can be kept for years.Patients appear more critical attitude towards them.The need for hospitalization.

treatment - antipsychotics haloperidol inside - 30 mg / day, trifluperidol (trisedil) - 0.25 mg / day, with a gradual increase in the daily dose to 2.8 mg, triftazin 60 mg / day, and vitamins.

Delirium tremens (delirium tremens) develops after prolonged drinking bout or against withdrawal in the presence of additional hazards (physical illness, brain injury, psychogenic, the postoperative period).It is characterized by sleep disorders, delirious confusion, fear and anxiety affect motor excitation.Observed somatic disorders - tachycardia, drop in blood pressure, sweating, indigestion, general tremors, fever.Delirium tremens begins with visual hallucinations at night.As the psychotic hallucinations are frightening and fantastic.Dizziness comes in the form of delirium with disorientation in the environment while maintaining the self consciousness, with visual hallucinations bright stage, sometimes frightening nature.It is accompanied by feelings of fear, sometimes fragmentary delusions.Patients initiated, value talkative, protected by their "visions".In severe delirium observed uncoordinated movement (patients "fleeced" pull together "threads" with itself).

Often there micropsia: patients see small animals, small worms and men.The disease is an acute, lasts several days and ends with a way out of a morbid condition with incomplete memories or lethal in the presence of severe cardiovascular disease.Patients are subject to immediate hospitalization in a psychiatric hospital and should be on bed rest for around the clock surveillance.

treatment.Relief of delirium tremens is carried out with a solution of 0.3-0.4 g of phenobarbital in 20 ml of ethanol and 150 ml of water;solution given once, administered simultaneously kordiamina 2 ml n / k.More used detoxification agents: unitiol - 5 / ml of 5% solution / m, glucose - 20 ml of 40% / w / w, large doses of vitamins B1 and B6, niacin, heart means.The next day, administered Levomepromazine (Tisercinum) - 50 mg / day / m (under the control of blood pressure) or haloperidol - 30 mg / day / m.

Korsakov psychosis characterized by memory disorders and polyneuritis.It occurs most often after delirium tremens.There profound fatigue with a sharp exhaustion, weakness.Remembering abruptly broken when saving in the memory of the past.Patients are not oriented in time and in the surrounding, can not be the day to inform about the events that have been in the morning.Criticism is not a disease.The current long-term psychosis.

Treatment - large doses of nicotinic acid, nootropil (piracetam) of 0.4 g 3 times a day, vitamins B1, B6, restorative therapy, physical therapy, physiotherapy.

Pathological intoxication - a mental condition that occurs when taking alcohol in a particular state, associated with a change in environment, long-term insomnia, fatigue, emotional tension, recent myocardial disease.It may develop when flying on an airplane or in a train moving.Characteristically dizziness twilight type: perception of changes suddenly appear persecutory delusions, hallucinations, fear.Patients excitation occurs with anger, rage, aggression.A characteristic feature - the lack of motor coordination disorder (patients did not stagger, have a confident gait).It begins pathological intoxication suddenly occurs briefly and just as suddenly ends with a very deep sleep, accompanied by amnesia (loss of memory).