Confusion

Question 1

What are the parts of the 4AT delirium screening tool?

Answer 1

1. Alertness : 0 if alert, 4 if abnormal
2. AMT4 - age, DOB, Place and year : 0 if can answer, 1 if 1 mistake, 2 if 2< mistakes
3. Attention - months of years backwards or 20-1: 0 if >7months correct, 1 if hesitant to start, 2 if <7 correct
4. Acute/fluctuating course: 0 if no, 4 if yes

Question 2

What adverse effects can be associated with anticholinergics?

Answer 2

1. Urinary retention
2. Drowsiness
3. Dry mouth
4. Constipation
5. Cognitive impairment
6. Falls

Question 3

What does anticholinergic burden (ACB) mean?

Answer 3

The cumulative effect of all drugs a patient is on which possess anticholinergic effects

Question 4

What pneumonic do we use to think of causes of delirium?

Answer 4

P - pain
I - infection
N - nutrition
C - constipation
H - hydration
M - medications
E - environment