Delirium Flashcards
Delirium increases risk of these things (3 items)
Death, institutionalization, dementia
Bedside assessment tool for delirium
Confusion Assessment Method
CAM features
- Acute change in mental status or fluctuating course
- Inattention
- Disorganized thinking
- Altered level of consciousness
Most common type of delirium
Hypoactive
type of delirium with poorer diagnosis
Hypoactive
Delirium is 2/2 ____ deficiency
cholinergic
Cholinesterase inhibitors have not been effective in treating delirium. T/F
True
Predisposing factors for delirium
advanced age, dementia, comorbidities, male, ADL impairment, hx of alcohol abuse
Associated w/ postoperative pain, anemia, use of sedatives and opiods
postoperative delirium
Effective management of delirium
- Identify and treat reversible contributors
- Maintain behavioral control
- Anticipate and prevent complications
- Restore function
Non pharmologic management
- orienting stimuli use
- socialization
- Eyeglasses and hearing aids use appropriately
- Mobilize
- Nutrition and fluids
- Educate and support
Pharm for delirium
high potency antipsychotics such as Haldol, in low doses.
When is Haldol contraindicated for delirium
Parkinson’s, lewy body dementia, hx of neuroleptic malignant syndrome
Monitor for these issues for patients on antipsychotics
Qt interval prolongation, torsade de pointes, neuroleptic malignant syndrome, withdrawal dyskinesias
Alternative for haldol (esp those w/ alcohol withdrawal and neuroleptic malignant syndrome hx)
benzodiazepines
