There is a another hazard for persons who vomit suffering from delirium tremens.
"....Patients with DT are critically ill and they should be monitored in an intensive care setting. As sedation is titrated, meticulous attention must be paid to the airway.
"Nasal airway placement and rapid sequence intubation, should be performed as necessary as patients lose the ability to protect their airway.
"Routine laboratory tests are indicated, as is a chest x-ray.
"Pneumonia, and in particular, aspiration pneumonia, is very frequently seen in DT. Because of the high concomitant incidence of subdural hematoma and other traumatic intracranial injuries, we have a low threshold for obtaining a head CT, especially in patients who present with altered mental status and in those that fail to improve over time.
"Hydration is important to maintain adequate perfusion. Urine output and serum electrolytes are important to help guide fluid therapy. Rhabdomyolysis is also frequently seen and should be considered in patients with dark urine or signs of renal failure. Vitamin and mineral replacement with thiamine and other B complex vitamins, folate and magnesium is indicated. Lastly, it is prudent to monitor blood glucose, as patients with severe liver disease are often unable to maintain a normal glucose level and will require supplementation. Glucose supplementation is also a part of the treatment of alcohol ketoacidosis, which may also be present...(Unquote)
Delirium Tremens (DTs) - Medscape Reference
Apr 9, 2013 - Delirium tremens (DTs) is the most severe form of ethanol withdrawal manifested by altered mental status (global confusion) and sympathetic ...
Dealing with the DTs :: Article - The Hospitalist
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Up to 20% of patients develop delirium tremens if left untreated.2 Recognition ... and vomiting (which may result in aspiration pneumonia), delirium with frank ...