Delirium Flashcards
1
Q
What is delirium gen char
A
Def: transient with quick onset, reversible, global disorder of cognition and altering levels of consciousness Cause: Dementia Electolyte disorders Lung, liver, heart, kidney, brain Infection Rx drugs (MC) Injury, pain, stress Unfamiliar environment Metabolic
PNEUMONIC: DELIRIUM
2
Q
What is delirium clin
A
SS: clouding of consciousness difficulty maintaining or shifting attention disorientation illusions hallucinations fluctuating levels of consciousness Eval: cognitive testing: MMSE and CAM H&P med review lab tests search for occult infection further search when no cause found Txt: Treat underlying cause create supportive and familiar environment antipsychotic/benzodiazepine
3
Q
what is terminal restlessness
A
terminally ill patients develop delirium near death
4
Q
What meds likely to precipitate delirium
A
anticholinergics analgesics (narcotics) benzodiazepines corticosteroids antidepressants parkinson's meds
5
Q
Types of delirium
A
Hyperactive: restlessness, agitation, fearfulness
hypoactive: lethargy, stupor
mixed
6
Q
Delirium risk factors and interventions
A
cognitive impairment : reality orientation program sleep deprivation immobilization psychoactive medications: restrict use vision impairment hearing impairment dehydration
7
Q
What lab tests are run for delirium
A
CBC electrolytes BUN/Cr glucose calcium phosphate LFT O2 UA CXR Thyroid Mg B12 Ammonia ABG Lumbar puncture EEG
