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학습 자료 둘러보기 →The priority for a client with suspected delirium tremens (DTs) is to administer a prescribed benzodiazepine like lorazepam immediately. This directly counteracts the CNS hyper-excitation from unopposed glutamate activity by potentiating GABA, reducing seizure risk and stabilizing vital signs.
DTs is a medical emergency with a mortality rate of 5-15% if untreated. Key signs include acute agitation, tactile/visual hallucinations, and autonomic instability (fever, tachycardia, hypertension) peaking 48-96 hours after the last drink.
Do not attempt reality orientation or increase environmental stimulation, as these can worsen agitation and increase the risk of seizures. Maintain a quiet, low-stimulation environment and monitor airway, breathing, and circulation continuously.
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