Delirium Flashcards
1
Q
How long does it take for delirium to develop and last?
A
Develops over 1-2 days, lasts 8-12 days
2
Q
What is the pathophysiology behind delirium?
A
Decreased acetylcholine, increased dopamine, increased cortisol
3
Q
What causes delirium?
A
PINCH ME
Pain Infection Nutrition Constipation Hydration/hypoxia
Medications
Environment
4
Q
Which medications cause delirium?
A
Opiates, steroids, levodopa, anti-cholinergics, benzodiazepines
5
Q
Which are the screening tools for delirium?
A
4AT, CAM, AMTS
6
Q
What are some mimics of delirium? (differential diagnoses)
A
Unilateral weakness –> stroke/intracerebral lesion
Nystagmus –> seizures
Ataxic gait, abnormal eye movements –> Wernickes encephalopathy
Insidious decline –> dementia
7
Q
If need be, which sedation is given to calm delirious patients?
A
Haloperidol or diazepam
