Geriatrics

Question 1

Garden’s classification NOF, 4

Answer 1

1. Incomplete, non-displaced
2. complete, non-displaced
3. displaced <50%
4. disaplced >50%

Question 3

how to diagnose delirium: CAM score

Answer 3

Must have 1 and 2 and either 3 or 4

1. Acute onset or fluctuating course
2. inattention
3. Disorganized thinking
4. Altered level of consciousness

Question 4

6 other features of delirium

Answer 4

1. Disorientation
2. memory impairment
3. perceptual disturbances
4. psychomotor agitation
5. psychomotor retardation
6. altered sleep-wake cycle

Question 5

Rx delirium

Answer 5

1. rx underlying illness
2. supportive care
3. managing behavior
4. prevent future occurrence

Question 6

cause of delirium

Answer 6

• electrolyte imbalances: esp Na
• infections
• Medications, withdrawal
• metabolic disorder: hypoglycaemia, hypercalcemia
• renal
• hepatic
• low perfusion state: shock, heart failure

Question 7

first choice of chemical restraint

Answer 7

0.5mg haloperidol (4hrly) PO/IM/IV

or 0.5 risperidone BD PO