Delerium PBL

Question 1

def. of delerium (4)

Answer 1

presence of 1 and 2 and 3 or 4

1. acute onset and fluctuating course
2. inattention
3. disorganized thinking
4. altered level of consc.

Question 2

def. delusion

Answer 2

fixed false beleif

Question 3

def. hallucination

Answer 3

false perception of a sensory stim

Question 4

what is deler. incidence for inpatient, surg, ICU and long term care

Answer 4

1. 22%
2. surg -44
   ICU - 80
   long term - 15

Question 5

cons. of delerium

Answer 5

1. increased stay lenght
2. increased mortality - 22-76%
3. cognitive decline and dementia

Question 6

predisposing factors (6)

Answer 6

1. male over 65
2. dementia
3. immobility or low activity
4. sensory impariment
5. dehydration
6. polypharmacy

Question 7

6 precipitiating factors

Answer 7

1. drugs
2. primary neuro disease
3. new illness
4. surg
5. environment - restraints
6. prolonged sleep dep

Question 8

when are benzos used

Answer 8

only for alc. withdrawl

Question 9

what is trearment of delerium

Answer 9

1. treat underlying cause
2. reorientation with clocks etc
3. anti psycho if needed

Question 10

3 things people must understand to give consent

Answer 10

risk and benefits of

1. treatment
2. no treatment
3. other options