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
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
3
Q
What is the main mechanism of dementia drugs?
A
Cholinesterase inhibitors, thus increase ACh
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
5
Q
Define delirium
A
Acute confusional state / organic brain syndrome
Disturbance of consciousness + a change in cognition that develops acutely