DELIRIUM Flashcards

1
Q

EN EL DELIRIUM PARTICIPA

A

ALT DE NEUROTRANSMISION, INFLAMACION Y ESTRES CRONICA

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2
Q

principal neurotransmisor

A

acetilcolina

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3
Q

farmacos predisponentes

A

AINES
BLOQ H2
NARCOTICOS
ANTICOLINERG
POLIFARMACIA
ALCOHOL

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4
Q

QUIENES INTERVIENEN EN LA INFLAMACION Y ALT DE LA NEUROTRANSMISION

A

interleucinas 1,2 6
factor de necrosis tumoral alfa
interferón

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5
Q

ETIOLOGIA

A
  • Drogas
  • Emociones
  • Metabolismo
  • Estímulos sensoperceptivos (ojos y oídos)
  • Nutrición
  • Cáncer
  • Infecciones
  • Alteraciones hemodinámicas
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6
Q

COMPONENTES ESENCIALES

A

edo de conciencia y cognición

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7
Q

3 tipos delirium

A
  1. HIPERACTIVO
  2. HIPOACTIVO
  3. MIXTO
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8
Q

DELIRIUM HIPERACTIVO

A

irritabilidad, agitación, impulsvidad, agresividad, allucinaciones

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9
Q

DELIRIUM HIPOACTIVO

A

reducción de la actividad y vigilancia
somnolencia

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10
Q

DELIRIUM MIXTO

A

alterna los 2 estados

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11
Q

DX DELIRIUM

A

HC
* MMF
* CAM (Sensibilidad 94-100%, especificidad 90- 95%)

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12
Q

CAM

A

confussion assesment method
1 y 2 + 3 o 4

  1. inicio agudo
    2.inatencion
    3.desorganizacion del pensamiento
  2. alt del nivel de conciencia
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13
Q

tx FARMA

A

antipsicoticos: haloperidol
antipsiq atipicos: olanzapina, quetiapina, risperidona
bonzos: lorazepam

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