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Treatment of Acute Delirium in a Patient with Parkinson’s Disease by Transfer to the Intensive Care Unit and Administration of Dexmedetomidine
The treatment of delirium or psychosis in patients with Parkinson’s disease (PD) can be complicated by the limited number of pharmacological agents that can be used in this population. Typical and atypical antipsychotics are contraindicated, as they can worsen motor symptoms. The treatment of acute...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
The Korean Movement Disorder Society
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7280942/ https://www.ncbi.nlm.nih.gov/pubmed/32498499 http://dx.doi.org/10.14802/jmd.20005 |
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author | Lombardo, Morgan DiPiazza, Amanda Rippey, Kelly Lubarr, Naomi Clar, Elana Azmi, Hooman |
author_facet | Lombardo, Morgan DiPiazza, Amanda Rippey, Kelly Lubarr, Naomi Clar, Elana Azmi, Hooman |
author_sort | Lombardo, Morgan |
collection | PubMed |
description | The treatment of delirium or psychosis in patients with Parkinson’s disease (PD) can be complicated by the limited number of pharmacological agents that can be used in this population. Typical and atypical antipsychotics are contraindicated, as they can worsen motor symptoms. The treatment of acute delirium is even more complicated in the hospital setting, as many medications deemed safer in this population are only available in oral form. We present a case of acute delirium in a patient with PD, likely precipitated by a polypharmacy interaction of new medications, that was successfully managed by transferring the patient to the intensive care unit and administering dexmedetomidine for 72 hours. |
format | Online Article Text |
id | pubmed-7280942 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | The Korean Movement Disorder Society |
record_format | MEDLINE/PubMed |
spelling | pubmed-72809422020-06-17 Treatment of Acute Delirium in a Patient with Parkinson’s Disease by Transfer to the Intensive Care Unit and Administration of Dexmedetomidine Lombardo, Morgan DiPiazza, Amanda Rippey, Kelly Lubarr, Naomi Clar, Elana Azmi, Hooman J Mov Disord Case Report The treatment of delirium or psychosis in patients with Parkinson’s disease (PD) can be complicated by the limited number of pharmacological agents that can be used in this population. Typical and atypical antipsychotics are contraindicated, as they can worsen motor symptoms. The treatment of acute delirium is even more complicated in the hospital setting, as many medications deemed safer in this population are only available in oral form. We present a case of acute delirium in a patient with PD, likely precipitated by a polypharmacy interaction of new medications, that was successfully managed by transferring the patient to the intensive care unit and administering dexmedetomidine for 72 hours. The Korean Movement Disorder Society 2020-05 2020-05-29 /pmc/articles/PMC7280942/ /pubmed/32498499 http://dx.doi.org/10.14802/jmd.20005 Text en Copyright © 2020 The Korean Movement Disorder Society This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Report Lombardo, Morgan DiPiazza, Amanda Rippey, Kelly Lubarr, Naomi Clar, Elana Azmi, Hooman Treatment of Acute Delirium in a Patient with Parkinson’s Disease by Transfer to the Intensive Care Unit and Administration of Dexmedetomidine |
title | Treatment of Acute Delirium in a Patient with Parkinson’s Disease by Transfer to the Intensive Care Unit and Administration of Dexmedetomidine |
title_full | Treatment of Acute Delirium in a Patient with Parkinson’s Disease by Transfer to the Intensive Care Unit and Administration of Dexmedetomidine |
title_fullStr | Treatment of Acute Delirium in a Patient with Parkinson’s Disease by Transfer to the Intensive Care Unit and Administration of Dexmedetomidine |
title_full_unstemmed | Treatment of Acute Delirium in a Patient with Parkinson’s Disease by Transfer to the Intensive Care Unit and Administration of Dexmedetomidine |
title_short | Treatment of Acute Delirium in a Patient with Parkinson’s Disease by Transfer to the Intensive Care Unit and Administration of Dexmedetomidine |
title_sort | treatment of acute delirium in a patient with parkinson’s disease by transfer to the intensive care unit and administration of dexmedetomidine |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7280942/ https://www.ncbi.nlm.nih.gov/pubmed/32498499 http://dx.doi.org/10.14802/jmd.20005 |
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