Delirium Flashcards
1
Q
What is delirium?
A
Acute, transient change in CNS functioning resulting in impaired consciousness and attention
2
Q
What can cause delirium?
A
Hypoxia Endocrine distrubrances Infection Stroke Nutritional deficiencies Pain Metabolic disturbances Alcohol/drugs Constipation Urinary retention
3
Q
What are risk factors for delirium?
A
>65 Pre-exisiting dementia Multiple comorbidities Sensory impairment Previous episodes of delirium
4
Q
What are clinical features of delirium?
A
Disordered thinking Euphoric/Angry/Depressed Language impaired Illusions/delusions/hallucinations Reversal of sleep wake cycle Inattention Disorientated
5
Q
What are the ICD-10 criteria for delirium?
A
Impairement of consciousness + attention Global disturbance in cognition Psychomotor retardation Disturbance of sleep wake cycle Emotional disturbance
6
Q
What investigations should be done for suspected delirium?
A
Urine dip ECG CXR Bloods - FBC - U&Es - LFTs - CRP - glucose - TFTs
7
Q
How is delirium managed?
A
Treat underlying cause
Reassurance
