Neurocognitive disorders Flashcards
1
Q
What are the six cognitive domains that can be affected by neurocognitive disorders?
A
Complex attention Executive function Learning and memory Language Perceptual-motor skills Social cognition/interaction
2
Q
What are the characteristic features of delirium?
A
Develops acutely over hours to days
Fluctuating impairments in attention and orientation
3
Q
Risk factors for delirium
A
Polypharmacy (esp benzos and anticholinergic drugs) Age Preexisting cognitive impairment or depression Alcohol use Severe/terminal illness Multiple medical comorbidities Impaired mobility Hearing or vision impairment Pain
4
Q
Five DSM-V categories of delirium
A
Substance-intoxication Substance-withdrawal Medication-induced Delirium due to medical condition Delirium due to multiple etiologies
5
Q
Common medications that can cause delirium
A
TCAs Anticholinergics Benzos (or other hypnotics) Steroids Anti-histaminergic drugs (H2 blockers) Meperidine
6
Q
Medical causes of delirium
A
Stroke or mass lesion Hypertensive encephalopathy Drug intoxication Meningitis Thyrotoxicosis Any infection Pain Uremia Etc...
7
Q
Three types of delirium based on psychomotor activity
A
Mixed type (stable from baseline or fluctuates)
Hypoactive
Hyperactive
