Delirium Flashcards
1
Q
Delirium acronym
A
Disorder thinking Euphoric mood Language impaired Illusions Reversal of sleep cycle Inattention Unaware Memory deficit
2
Q
4 key features
A
- acute onset and fluctuating
- inattention
- disorganised thinking
- on/off conciousness
3
Q
causes of delirium - 10
A
systemic infection intracranial infection drugs and alcohol withdrawal alcohol metabolic hypoxia vascular - stroke head injury epilepsy nutritional
4
Q
2 types of delirium
A
hyper and hypo
5
Q
features of hyper - 4
A
vigalant
hyperactive
hallucinations
better outcome
6
Q
features of hypo - 3
A
lethargic
inattention
monosyllabic
7
Q
DDx delirium - 11
A
anxiety very ill mental illness infection - uti, chest bleed in brain drugs tumour pneumonia copd
8
Q
delirium tests - 4
A
bloods
LP
ct/mri
cxr
9
Q
delirium management - 4
A
reduce stress
minimise sedatives
monitor AMTS
treat cause
10
Q
2 assessment methods for delirium
A
- CAM
2. 4AT
11
Q
CAM method
A
2 of:
acute
inattention
fluctuating course
1 of:
- disorganised thoughts
- altered levels of conciousness
12
Q
4AT
A
quick assessment on intake
13
Q
assessment
A
- neurological exam - is possible
- GCS
- pyrexia?
- alcohol abuse or withdrawal?
- AMTA
- BM
