]> 2026-07-31T14:30:21+00:00 WBR1132 0 en Haloperidol iv then oral Try to orient her to time, place and person over and over Non pharmacological methods are the first measure in delirium, unless there is severe agitation that places the person at risk of harming oneself or others. * Avoiding unnecessary movement * Avoidance of inter‑ and intra‑ward transfers * Continuity of care from caring staff * Avoidance of physical restraints * Involving family members * Having recognizable faces at the bedside * Sensory aids should be available and working where necessary * Maintenance or restoration of normal sleep patterns * Approach and handle gently * Avoid sudden and irritating noise (e.g. Pump alarms) * Careful management of bowel and bladder elimination * Having a means of orientation available (such as a clock and a calendar) may be sufficient in stabilizing the situation * Reassurance and explanation to the patient and carer of any procedures or treatment, using short simple sentences * If this is insufficient, verbal and non-verbal de-escalation techniques may be required to offer reassurances and calm the person experiencing delirium. Trazadone with first generation antipsychotics Lorazepam with first generation antipsychotics Morphine and paralysis with mechanical ventilation Delirium is treated conservatively, if non pharmacological techniques fail, or if de-escalation techniques are inappropriate, only then pharmacological treatment is indicated.<br/> '''Educational Objective:''' Delirium is treated conservatively, if non pharmacological techniques fail, or if de-escalation techniques are inappropriate, only then pharmacological treatment is indicated.<br/> '''References:''' http://www.wikidoc.org/index.php/Delirium_medical_therapy Psychiatry A 80 years old woman is in a nursing home. Her sleep-awake cycle is altered, concentration is impaired, and is not oriented to time place and person. Her symptoms started yesterday and their severity seems to be fluctuating. Her urine examination revealed puss cells and is suggestive of urinary tract infection. There is no history of dementia, stroke, hypertension. What is the first line treatment in the managing delirium? B Psychiatry 2020-10-28T02:42:45Z 2459150.6130208 WBR1132