Delirium I/II- 16A/B Flashcards
1
Q
Delirium diagnosis
A
-disturbance of ATTENTION, AWARENESS, COGNITION
2
Q
Common etiologies of Delirium
A
I WATCH DEATH Infection Withdrawal Acute Metabolic Trauma CNS pathology Hypoxia Deficiencies Endocrinopathies Acute Vascular events Toxins Heavy Metals
3
Q
Mortality rate of Delirium
A
35-40% in 1 year
25% in 6 months
4
Q
2 classic examples of hypoactive delirium
A
- hepatic encephalopathy
- hypercapnea (check arterial CO2)
- hypoactive carries worse prognosis
5
Q
What is paratonia?
A
- Geganhalten
- involuntary resistance to passive movement
- in patients with delirium or brain damage
6
Q
Fun facts about Delirium Tremens
A
- HYPERACTIVE DELIRIUM with psychosis
- mortality ~35%
- 5% of pts with alcohol withdrawal develop DTs
- can happen 3-7 days of last alcohol use
7
Q
Risk factors for DTs
A
- previous history of DTs
- BAL >300
- older age
- history of alcohol seizure (early symptom)
8
Q
most common cardiac arrhythmia in DTs
A
ATRIAL FIBRILLATION
9
Q
Classical triad of Wernicke’s Encephalopathy
A
- Confusion, delirium, encephalopathy
- occulomotor symptoms
- wide based gait
10
Q
What is wet Beri Beri
A
-heart failure due to thiamine deficiency
11
Q
What is PHYSOSTIGMINE?
A
-cholinesterase inhibitor
12
Q
What is ATROPINE
A
Cholinergic blocker
Anticholinergic
13
Q
First step in anticholinergic toxicity
A
activated charcoal
