Elderly

Question 1

1st line sedative for delirium and cautions

Answer 1

1st line sedative = Haloperidol 0.5mg or olanzepine (careful in PD)

Question 2

What favours delirium over dementia

Answer 2

Delirium = acute onset, impairment consciousness, fluctuation in symptoms, abnormal perceptions (hallucinations), agitation, fear, delusions

Question 3

Pharmacological mx alzheimers

Answer 3

Mild - mod = AChE inhibitors (dinepezol-S/Einsomnia; galantamine; rivastigmine)
Memantantine (NMDA antagonist)

Question 4

<65 onset, insidious, relatively preserved memory + visuospatial. Personality change + social conduct problems

diagnosis

Answer 4

FT Dementia

Question 5

Difference between Lewy body dementia and Parkinson’s disease dementia

Answer 5

IN LBD = Progressive cognitive impairment typically before parkinson’s/motor (PD has motor before cognitive)
Visual hallucinations

Question 6

Score system for those as risk pressure ulcers

Answer 6

Waterlow