delirium Flashcards
likely brain area that plays a role in delerium
reticular activating system
two major delirium risk factors
age, cognitive (dementia, brain trauma, cognitive impairments)
four classes of meds with high delirogenic potential
anticholinergics, benzos, opioids (esp meperidine, morphine), corticosteroids
essential evaluations for delirium
cognitive: orientation, attention. Can use Confusion Assessment Method (validated)
how is it different from dementia
rapid onset, more acute course, reduced awareness, fluctuating alertness
how is it different from lewy body dementia
no parkinsonism
What is seen on delirium EEG
more theta and delta waves, even while awake
tx for delirium and side effects
always underlying cause first. Antipsychotics like Haloperidol (QTc prolongation and Torsade)
