Delirium Flashcards
1
Q
What’s worst? Low dose, high dose, or no opioids
A
Low dose opioids do worse
2
Q
What are the six strongest RF for delirium in the elderly?
A
Preexisting cog impairment*** Sleep deprivation Hearing Visual Dehydration Immobility- use of restraints RR 4.4 3 new meds in past 24 hours IDC insertion severe illness psychoactive drug use
Quadruple risk with restraint use and malnutrition
3
Q
What drug do you pick in delirium with psychotic features?
A
Haloperidol 0.25-0.5 mg and titrate
no data for risperidone or olanzapine
4
Q
key DSM 5 feature of delirium
A
Disturbance in attention and awareness (not consciousness)
5
Q
Hypoactive delirium- how is the prognosis different?
A
Less likely to recover fully
poorer prognosis
6
Q
5 year mortality for delirium
A
50%
risk greatest where delirium NOT associated with dementia
