delirium Flashcards
task
652
d/d
HIDEMAP
hypoxia/heart failure
infection: UTI, oneumonia
Drugs : benzo,antochol.narcotics
Endocrine : DM, Thyroid
Metabolic : electrolyte, renal
Alcohol
Psychosis
WHAT IS DELIRIUM?
-Acute brain syndrome,acute confusional state associated with acute impairment of consciousness.disorientation, restlessness, hallucinations,illusions common.
-expalin a little more about the events?
INABILITY TO SLEEP
-lead to visual hallucinations
-hieghtened arousal, fear hall mark of acute brain
-ask d/d
MMSE
-
mx
-discuss with nursing staff about, explanation, reassurance, environmental control
-cessation morphine>this stage not needed
-minial meds>medium acting benzodiazepine(diazepam, lorazepam)
-low dose sedative antipsychotic: olanzapine/mindful of extrapyramidl effectd