DPD: Geriatrics Flashcards

1
Q

List 7 signs of delirium

A
Acute onset
Distractible / Inattentive
Drowsy / Hyperalert
Disorganised thinking
Picking at clothes/sheets (carphologia)
Not getting out of bed
Not interacting with others
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

List 8 causes of delirium

A
Hypoxia
Constipation
Anticholinergics
Urinary retention
Urosepsis
Change of environment
Sedatives, alcohol, analgesia
Withdrawal from sedatives, alcohol, analgesia
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What is the main mechanism of dementia drugs?

A

Cholinesterase inhibitors, thus increase ACh

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What does the 4AT test for delirium involve?

A

Alertness (drowsy/ hyper alert)
AMT 4 (Age, DOB, place, year)
Attention (Months of year backwards)
Acute changes/ fluctuating course

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Define delirium

A

Acute confusional state / organic brain syndrome

Disturbance of consciousness + a change in cognition that develops acutely

How well did you know this?
1
Not at all
2
3
4
5
Perfectly