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Suggest Treatment For Hallucination And Irritable Behaviour In The Evening

Posted on Tue, 23 Dec 2014

Question: my husband is showing all the signs of sundowning, he has stage 4 copd. Is there a med for this sundowning?

Answered by Dr. Divakara (40 minutes later)

Brief Answer:
What you mean by Sundowning?

Detailed Answer:
HI

Greetings from Dr.Divakara.P
Thanks for choosing HealthcareMagic.

I need to know what exactly you mean by Sundowing. I can understand that Sundowning means there is deterioration in the patient condition as the day comes to an end but I need to know what exactly happens .

Kindly revert back with details.

Regards.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Divakara (21 minutes later)

In the late afternoon he becomes jumpy and adgitated. Sometimes he halucinates, this goes on until he gets his medications at 10 pm. During the early part of day he is completely himself. I checked on computer and he hhas every sign of what they are calling sundowning

Answered by Dr. Divakara (11 minutes later)

Brief Answer:
Its due to retention of CO2 in the lungs.

Detailed Answer:
HI

It is his neurological condition that is causing these problems . Because of his COPD there will be accumulation of Carbon dioxide in his body that can alter his neurological condition.

Also some on the medications used for COPD can causes alterations in the sodium concentration in blood that can lead to agitation and hallucination.

The last possibility is Psychosis .

I advise you to get his ABG ( Arterial Blood gas ) Analysis and Serum Sodium levels tested and revert back .

Also let me know whether he is on oxygen or not and his SPO2 o Room air.

Hope you find this information useful .

Regards.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar