Delirium Flashcards
1
Q
state of temporary about __
A
acute mental confusion
2
Q
Most common in
A
Older adults with short term illness.
ex: poor nutrition
3
Q
It is rarely caused by a __ factor.
A
single
4
Q
Factors
A
age over 70 change in environment dehydration dementia electrolyte imbalance infection malnutrition medications head trauma abnormal blood glucose changes fecal impaction
5
Q
clinical manifestations
A
develop over 2-3 day period
6
Q
early s/s
A
inability to concentrate irritability insomnia loss of appetite restlessness hyper-activity cognitive impairment
7
Q
Later s/s
A
Agitation misperception misinterpretation hallucination delusions, fear anxiety and paranola
8
Q
delirium: linked to cause
vs.
dementia: cause unknown
A
delirium: abrupt onset last up to 3 days dementia: mental status cognition memory
9
Q
Diagnosis
A
mini mental state exam, ECG urine analysis liver function test thyroid function serum electrolytes CBC
10
Q
Nurse care
A
Eliminate factors
if infection use antibiotic
risk for immobility and skin breakdown
support family/caregiver
