Delirium and EM pysch Flashcards
other names for delirium
encephalopathy ICU psychosis cerebral insufficiency change in mental status acute brain failure
other names for delirium
encephalopathy ICU psychosis cerebral insufficiency change in mental status acute brain failure
is delirium reversible
yes
characteristic of delirium
fluctuatins (waxing and waning) acute onset (hrs to days) hypoactive, hyperactive or mixed withdrawal and non-withdrawal types signs no accounted for by dementia
major differences of delirium and dementia
delirium has disrupted attention, waxing waning, disorganized speech
dementia attention intact, no waxing waning, poverty of speech
delirium has distrubances where
vital signs consciousness attention and awareness pyschomotor emotional cognitive sleep wake cycle
delirium is significant risk factor for
NCD dementia
prognositc factor of delirium
20-40% mortality in 12 mo
NT changes in delirium
inc DA
dec ACH
what meds can cause delirium
anticholinergics! antiHTN antipsychotic antibiotics antidepressants disulfram, lithium opioids anticonvulsants cytotoxic agents
what metabolic disturbances can cause delirium
post surgery fever anemia deydration hepatic failure hyper/hypoglycemia hyper/hypothyroidism hypoxia/hypercapnia
what infections can cause delirium
UTI URI pneumonia cellulitis sepsis
trauma related causes delirium
head trauma
burns!!
labs to order for delirium
NH3, CBC, UA, CMP, LFTs, EKG, CXR, TSH, Blood gases, LP, CT, MRI etc
how to orient delirious patients
clocks, calendars, family pictures, proper sleep structuring
