AMS/Delirium Flashcards
What is the B-52 treatment?
Benadryl- 50 mg IM
Haldol- 5 mg IM
Ativan- 2 mg IM
Fabrication of facts or events in response to questions
Conflabulation
- aka Korsakoff’s syndrome
A thought process that includes invented or distorted words or words with new meaning
Neologisms
- common w/ schizophrenia
inability to perform particular purposeful actions (that is not due to a motor impairment)
apraxia
The performance of an action or to the performance of learned motor movements in the absence of primary deficits in motor and spatial abilities
praxis
Common treatments of hepatic encephalopathy: (3)
1- supportive
2- Restrict PRO 60-80kg
3- MEDS: rifaximin, lactulose
This happens when people are given too much oxygen…this slows down the oxygen driven drive to breathe and thenCO2level increases and reach levels that can be toxic
CO2 narcosis
Explain the guidelines around use of physical restraints in delirium:
Use of physical restraints should ONLY be used for patients who are an immediate threat to themselves or others, and only for a short period of time
Within 2 weeks a comatose patient will progress to one of the following two categories:
1- Persistent vegetative state
2- Brain death
Requirements to DX Brain death: (8)
1- Clinical/imaging evidence of acute CNS catastrophe 2- no electrolyte abnormalities 3- no drugs/alcohol 4- no sz 5- no circulatory shock 6- no acid-base disorders 7- SBP>100 (okay if using vasopressors) 8- Core Temperature>97
Types of Peripheral Vertigo: (4)
1- Benign Positional Vertigo – Crystals in the inner ear
2- Vestibular neuritis- virus?
3- Labyrinthitis- virus?
4- Meniere’s Dz.- Stress, Caffeine, excess salt intake
Types of Central Vertigo: (4)
1-Posterior circulation CVA
2-TBI
3-Mass lesion
4- MS
