Delirium

Question 1

what is delirium?

Answer 1

acute confusional state

Question 2

what are some common causes of delirium?

Answer 2

strong medication

illness

change in environment

Question 3

what percentage of older people experince delirium prior ro or during hospital admission?

Answer 3

15-60%

Question 4

delirium during hospital stay is associated with what 3 things?

Answer 4

increased mortality

prolonged hospital stay

increased complications

Question 5

whata are some predisposing factors to delirium?

Answer 5

polypharmcy

depression

malnutrition

dementia

Question 6

what is the difference between a predisposing and precipitating factor?

Answer 6

predisposing means at higher risk

precipitating is a trigger

Question 7

what are some precipitating factors for delirium?

Answer 7

medication change

hypoxia

dehydration

alcohol withdrawl

Question 8

what aspect of history is really important in delirium?

Answer 8

collaborative history

Question 9

which type of delirium has twice the mortlality rate hyper or hypo active

Answer 9

hypo active 2x mortality rate

Question 10

what is the managemnt of delirium?

Answer 10

identify and treat any underlyign causes

adapt environment

engage and reassure relatives

*follow up*

Question 11

under what circumstnaces should sedation be used in patients with delirium?

Answer 11

only if they pose a danger to themselves or others

Question 12

what anti-psychotic drugs are useful in delirium?

Answer 12

Haloperidol

quetiapine

olanzapine

Question 13

quetiapine is useful in which type of dementia?

Answer 13

parkinson/lewy body dementia