Delirium Flashcards
common and severe neuropsychiatric syndrome that involves a disturbance of consciousness accompanied by change in the brain’s ability to process, retain and use information(cognition)
Delirium
Core features of delirium
- distrubance of consciousness
- change in cognition
- Onset of hours to days and tendency to fluctuate
Hyperactive delirium
a. somnolent
b. agitated
A
Hypoactive delirium
a. somnolent
b. agitated
B
Mixed delirium has __% incidence
50%
what percentage of patients with general medical condition are delirious at a given time in a hospital
10-15%
percentage of old people with acute illness that has delirium
30-50%
T/F susceptibility of delirium is higher in children with febrile illness
T
Signs and symptoms of delirium
Difficulty with attention
Easily distracted
Disoriented
May have sensory disturbance such as illusions, misinterpretations, or hallucinations
May have sleep-cycle disturbances
Changes in psychomotor activity
May experience anxiety, fear, irritability, euphoria or apathy
common physiologic/metabolic causes of delirium
hypoxemia
electrilyte imbalance
renal or hepatic failure
hypo/hyperglycemia
most common infectious cause of delirium
systemic- sepsis UTI pneumonia cerebral meningitis encephalitis
common drug-related cause of delirium
intoxication
withdrawal
consciousness and cognition may not be impaired
a. delirium
b. psychosis
B
Primary treatment of delirium
treatment of causal or contributing medical conditions
Psychopharmacology for delirium
Antipsychotic