Delirium Flashcards
1
Q
Delirium features
A
Disturbed consciousness change in cognition acute onset and fluctuant disturbance of sleep wake cycle disturbed psychomotor behavior emotional disturbance
2
Q
Precipitation
A
sense of cognitive frailty
geriatrics collateral history
3
Q
list of precipitation
A
infection dehydration biochemical disturbance pain drugs constipation hypoxia alcohol sleep disturbance
4
Q
how common is delirium
A
most common complication of hospitalisation
5
Q
how to Diagnose delirium
A
4AT Alertness Location, Age, Date of birth, Year Attention Acute change or fluctuating course
6
Q
Management
A
full history and exam (including neuro)
TIME bundle
Explain the diagnosis
7
Q
Non pharmalogical treatment
A
re orientate and reassure agitated patients use families encourage early mobility and self care correction of sensory impairment normalise sleep wake cycle ensure continuity of care avoid urinary catheterisation discharge people asap
8
Q
pharmalogical
A
start low and go slow
12 mg quetiapine
9
Q
Risk reduction
A
Sleep correction
CGA at home
10
Q
other things to remember
A
capacity
decision specific
legally appointed proxy
11
Q
overdiagnosis of uti
A
prevalence of symptomatic bacteuria in scotland
over 65 urine dipstick should not be used for diagnosis of UTI
