Delirium Flashcards
1
Q
What is the definition of delirium?
A
a transient, usually reversible, cause of cerebral dysfunction and manifests clinically with a wide range of neuropsychiatric abnormalities.
2
Q
What is the pathophysiology of delirium?
A
-unknown but involves NTs, inflammation, stress
3
Q
What are predisposing factors to delirium?
A
- older age
- dementia
- visual impairment
- history of delirium
- polypharmacy
- surgery
4
Q
What are precipitating insults that can cause delirium?
A
- drugs
- primary neurological injury
- acute illness
- metabolic abnormalities
- surgery
- endocrine
5
Q
What are the presenting symptoms of delirium?
A
- hyperactive, hypoactive or a mixed
- agitation, arousal, hallucinations
- they fluctuate, cause disorientation, illusions
6
Q
DDx of delirium?
A
- dementia
- depression
- acute psychosis
7
Q
What are investigations for delirium?
A
- finding the underlying cause of delirium
- investigations are guided by these
8
Q
What is the management of delirium?
A
- supportive therapy
- haloperidol
