Delirium

Question 1

Delirium

1. Onset
2. Consciousness
3. Cognition change
4. Course
5. Evidence of what type of cause

Answer 1

1. Acute
2. Altered
3. Disturbance
4. Fluctuating
5. Physical

Question 2

Delirium

1. Onset
2. Course
3. Attention
4. Consciousness
5. Speech

Answer 2

1. Abrupt
2. Fluctuating
3. Impaired
4. Reduced
5. Incoherent/disorganized

Question 3

Dementia

1. Onset
2. Course
3. Attention
4. Consciousness
5. Speech

Answer 3

1. Insidious
2. Progressive
3. Normal
4. Clear
5. Organized with some aphasia

Question 4

Causes of Delirium

Answer 4

Dementia
Electrolytes
Liver, Lungs, Heart, Kidney, Brains    
Infection             					      Rx        							      Injury, pain, stress
Unfamiliar Environment
Metabolic

Question 5

Delirium
Age
Sex
4 other factors

Answer 5

Very elderly
Males
1. Visual impairment
2. Dementia
3. Depression
4. Functional dependence

Question 6

General pathophys of delirium

Answer 6

disruption of cortical and sub-cortical function

Question 7

Disorganization of cerebral metabolism and neurotransmission produce symptoms how (3)

Answer 7

1. Abnormal cholinergic transmission
2. Dopamine excess
3. Over-stimulation of GABA

Question 8

Most commonly used diagnosis tool in delirium

Answer 8

Confusion Assessment Method (Short Form)

Question 9

Four items of the CAS

Answer 9

1. acute onset/fluctuating course
2. inattention
3. disorganized thought
4. altered consciousness

Question 10

What type of illness is delirium

Answer 10

Medical emergency

Question 11

Most common drugs for delirium

Answer 11

Typical and atypical anti-psychotics

Question 12

First line drug for behavioral problem of delirium

Answer 12

Haloperidol

Question 13

Avoid what drugs in delirium

Exception

Answer 13

Benzodiazepines

Lorazepam