OPM - Delirium Flashcards
what are some of the implications of delirum for patient prognosis
worse prognosis
increased risk of dementia 3x
longer hospital stays
who is at risk of delirium
older
cognitive impairment
- analgesia, stroke etc
hip fracture
severe illness
eye and hearing issues
what causes delirium
DDELIRIUMS
Drugs – intoxication
Drugs – withdrawal
Environmental factors
Low Oxygen
Infection
Retention of urine or stool
Intracranial abnormality
Underhydration/undernutrition
Metabolic
Sleep disturbances
what are the 3 types of delirium
hyperactive delirium
hypoactive delirium
mixed delirium
why are older people more at risk of delirium
more permeable BBB
why does delirium increase risk of dementia
causes neuronal dysfunction and damage
what is the 4AT score
for delirium
alertness
attention
acute change
AMT4 - age, date, place, current year
what are some non clinical methods to manage acute delirium
clock and calendar
clear signage
talking- re-orient person
family and friends
what are some clinical methods to manage acute delirium
reduce anaesthesia
solve eye and hearing issues
avoid procedures at night
maintain cycadean rhythm
what drug can you give if a delirious patient becomes agitated
haloperidol
risperidone
who can you not give haloperidol to
Parkinson’s
lewy body dementia
which is more common hyper or hypo active delirium
hypo
what is the prognosis for hypoactive delirium compared with hyper
less reversible
increased mortality
