Dlm Flashcards

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1
Q

Impairment of consciousness - 4 terms?

A

cloudiness, drowsiness, supor, coma

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2
Q

alertness?

A

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

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3
Q

orientation?

A

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

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4
Q

most common emotion? (masks)

A

fear

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5
Q

what kind of intervals do you get?

A

lucid intervals

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6
Q

auditory hallucinations - what are they usually?

A

threatening

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7
Q

delusions are usually?

A

persecutory (harm is coming)

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8
Q

sleep - what happens?

A

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

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9
Q

how do heart problems cause delirium?

A

hypoxia in brain

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10
Q

respiratory problems?

A

hypoxia

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11
Q

other causes?

A

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

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12
Q

hypothermia/hyperthermia can cause delirium

A

y

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13
Q

prescribed drugs that can cause it?

A

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

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14
Q

withdrawal from 4 things ?

A

alcohol, benzos, barbiturates, illicit drugs

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15
Q

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

A

y

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16
Q

investigations?

A

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

17
Q

why would you do MRI/CT brain?

A

stroke/tumours

18
Q

what kind of management do these patients need?

A

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

19
Q

why cautious with sedating drugs?

A

can make them more confused

20
Q

alcohol withdrawl - what drug?

A

chlordiazepoxide

21
Q

treatment of delirium (normal)

A

haloperidol orally then IM

22
Q

what 3 conditions would you give lorazepam?

A

parkinsons, lewy body dementia, neuroleptic syndrome

23
Q

why need to review frequently?

A

although it can improve quickly, it can also worsen quickly

24
Q

what is the mean duration of delirium?

A

1-4 weeks

25
Q

what 2 conditions is depression very common after?

A

stroke and MI