Lesson 1

Question 1

etiology

Answer 1

mental status

Question 2

altered mental status can be divided into

Answer 2

dementia/delirium

Question 3

up to what % of elderly patients have delirium but is missed during routine examinations

Answer 3

25%

Question 4

delirium

Answer 4

rapid onset

difficulty keeping attention

confusion

appears awake

activity levels vary

sleep cycle varies

may have emotional outbursts/ ^HR/BP tremors, sweating, hallucinations

Question 5

what causes delirium

Answer 5

infection

drugs

cardiopulmonary

metabolic/toxic

Question 6

prehospital delirium treatment

Answer 6

keep patient calm and comfortable

rule out reversible organic causes

ensure police on scene if needed

admin lorazepam if needed

Question 7

hospital delirium treatment

Answer 7

sedation

lighting

Question 8

dementia

Answer 8

slow onset

Question 9

excited delirium pathology

Answer 9

possibly related to dopamine levels

Question 10

excited delirium features

Answer 10

agitated
high temp
sweaty/naked
no response to pain

Question 11

prehospital excited delirium treatment

Answer 11

police/law if needed

overheat and selfharm