Exited Delirium Syndrome (W13) Flashcards

1
Q

What is best for someone suffering from Excited Delirium Syndrome

A

Fast termination of severe agitation

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2
Q

EDS is thought to be associated with what

A

The dysregulation of dopamine

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3
Q

What can increased dopamine do to the body

A

Aggression, paranoia, tachycardia, tachypnea, hyperthermia (hallmark symptom!)

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4
Q

Is associated with the use most commonly of what drug

A

Cocaine (blocks the re-uptake of dopamine)

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5
Q

Hyperthermia is caused by

A

Increased dopamine and stimulant effect = increase in metabolic activity which can cause hyperthermia

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6
Q

Sudden death in EDS can be caused by

A

Metabolic acidosis which can cause hyperkalemia and dysrhythmias, resulting in the potential for sudden death

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7
Q

Rhabdomyolysis can be caused by

A

Increased muscle activity and aggression exacerbation while attempting to restrain, increasing creatinine phosphokinase

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8
Q

Presentation (NOT A CRIME)

A

Pt is NAKED and sweating due to hyperthermia
Pt is violent against OBJECTS, in particular glass
Pt is TOUGH and basically a superhuman

ACUTE onset

CONFUSED
RESISTANT
INCOHERENT
MENTAL health conditions make you uncomfortable
EARLY backup is key for EMS

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9
Q

Why is less restraints early on is important for pt w EDS

A

Arrest is almost always fatal so restrain ASAP, restrain pt w as little as possible bc more will increase CBT and acidosis

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10
Q

What is the optimal drug use for EDS and why

A

Ketamine: quick acting, more predicable in uncontrolled environment

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11
Q

If ACP is unavailable what do you do

A

Transport ASAP!!

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