Dlm

Question 1

Impairment of consciousness - 4 terms?

Answer 1

cloudiness, drowsiness, supor, coma

Question 2

alertness?

Answer 2

can be hyper alert (cctv), hypo alert, or mixed

Question 3

orientation?

Answer 3

disorientated in TIME mostly, can also be disorientated in place and person

Question 4

most common emotion? (masks)

Answer 4

fear

Question 5

what kind of intervals do you get?

Answer 5

lucid intervals

Question 6

auditory hallucinations - what are they usually?

Answer 6

threatening

Question 7

delusions are usually?

Answer 7

persecutory (harm is coming)

Question 8

sleep - what happens?

Answer 8

insomnia, sleep loss, nocturnal worsening of symptoms, disturbing dreams and nightmares

Question 9

how do heart problems cause delirium?

Answer 9

hypoxia in brain

Question 10

respiratory problems?

Answer 10

hypoxia

Question 11

other causes?

Answer 11

thyroid, liver failure, pancreatitis, renal failure, UTI, infections (max), head injury, encephalitis, tumours, epilepsy, drug/alcohol intoxication

Question 12

hypothermia/hyperthermia can cause delirium

Answer 12

y

Question 13

prescribed drugs that can cause it?

Answer 13

cemetidine, anti parkinsonian, anti cholinergic, anti convulsants, sedatives (benzos), opiods

Question 14

withdrawal from 4 things ?

Answer 14

alcohol, benzos, barbiturates, illicit drugs

Question 15

hypoxia, hypoglycaemia, thyroid problems, carcinoid syndrome can cause delirium

Answer 15

y

Question 16

investigations?

Answer 16

cover all main causes i.e. CXR, TFTs, FBC, Us and Es

Question 17

why would you do MRI/CT brain?

Answer 17

stroke/tumours

Question 18

what kind of management do these patients need?

Answer 18

bright room , low staff changes, calendar, clock, glasses, hearing aids,

Question 19

why cautious with sedating drugs?

Answer 19

can make them more confused

Question 20

alcohol withdrawl - what drug?

Answer 20

chlordiazepoxide

Question 21

treatment of delirium (normal)

Answer 21

haloperidol orally then IM

Question 22

what 3 conditions would you give lorazepam?

Answer 22

parkinsons, lewy body dementia, neuroleptic syndrome

Question 23

why need to review frequently?

Answer 23

although it can improve quickly, it can also worsen quickly

Question 24

what is the mean duration of delirium?

Answer 24

1-4 weeks

Question 25

what 2 conditions is depression very common after?

Answer 25

stroke and MI