Neuro F Delirium Flashcards
Delirium fatality
15-30%
Syndrome or disease
Syndrome (no pathognomonic lab finding)
Delirium characterization
Diffuse cognitive dysfunction
Reduced alertness
Delirium test
A test
Perceptual disturbances
Illusions and Hallucinations
Delusion finding
Responsive to surroundings
Mood finding
Intense (anxiety, irritability, lability)
Motor finding
Asterixis (flapping tremon) when toxic
Myoclonus
Catatonia
EEG finding
Slowing in delta or theta range
EEG exception
Delirium tremens (alcohol withdrawal) shows fast waves
Which drugs can cause delirium
Any drug that affects the brain
Special need
Expert nursing care
Noise reduction for sleep
Walking
Delirium Tx
Treat underlying disease
AVOID drugs
Nonspecific drug Tx
Haloperidol, Droperidol
Nonspecific drug contraindication
Clozapine