delirium

Question 1

history questions in ? delirium

Answer 1

any prev admissions w delirium
any current treatment for psychiatric disorders
any history of cognitive impaitment
any allergies

Question 2

when is immediate pahrmacological management required in delirium

Answer 2

when patient is an immediate risk to themselves or others

Question 3

first and second line pharmacological management of delirium

Answer 3

halperidol

lorazepam

Question 4

when to not give halperidol

Answer 4

parkinsons

ECG changes - prolonged QTc, ventricular arrhythmias

Question 5

non pharmacological management of delirium

Answer 5

ensure hearing aids are working

ensure room is well lit

ensure family member or familiar face present

ensure adequate hydration

prescribe laxatives if patient is constpated

prescribe analgesia if needed

treat underlying infection

review medications for those that may exacerbate delirium (opiates)

Question 6

when to refer to ICU in delirium

Answer 6

failure to repsond to medical management

patient requires ventilator support

patient requires blood pressure support

deterioration of blood gas following medical management

Question 7

future management in delirium

Answer 7

check for underlying cause, consider assessment for dementia