4.10 confusion&delerium (tormoehlen)

Question 0

what is consciousness

Answer 0

full awareness of yourself and your environment and your ability to interact with it

Question 1

what is the order of the spectrum of acute altered consciousness (ACC)

Answer 1

1. Confusion
2. Delerioum
3. Obtundation
4. stupor

Question 2

what is obtundation?

Answer 2

reduced alertness (too sleepy to wake)

Question 3

what is the #1 cause of astrexis

Answer 3

hyperammonemia

Question 4

what is astrexis

Answer 4

flappy tremor. tremor of hand when wrist is extended (bird flap)

Question 5

how does imagine help you tell teh difference between a matabolic and a structural cause

Answer 5

metabolic shows normal MRI

structural shows abnormal MRI

Question 6

patient is in ER with acute agitated delirium with no previous history of seizures and no known psych issues. what is your first thought about the cause of this

Answer 6

drug/toxin until proven otherwise

Question 7

what is the triad of substances causing agitated delirium seizures

Answer 7

1. stimulants
2. withdrawal of sedatives
3. inhibitory inhibitors

Question 8

list the 5 “Bs” of sedatives (GABA agonists)

Answer 8

Benzos
Barbituates
Baclofen
ghB
Booze

Question 9

if you take a drug that activates the NMDA receptor your neurons are (more or less) likely to fire

Answer 9

more

Question 10

opoids, benzos, barbituates are CNS depressants that cause too much inhibition or too little stimulation?

Answer 10

too much inhibition

Question 11

alpha 2 agonists
alpha 1 antagonista
glutamate antagonists

are CNS depressors that cause too little stimulation or too much inhibition?

Answer 11

to little stimulation

Question 12

what drug mimics brain death

never declare brain death unless you know the cause!

Answer 12

GHB

Question 13

when is the electroencephalogram useful (2)

Answer 13

1. metabolic conditions

2. patients with acute unresponsiveness who have nonconvulsive epilepticus.