Post OP Altered Mental Status

Question 1

What are the causes of AMS in post op surgery?

Answer 1

Electrolytes
Hypoxia
ARDS
Delirium tremens

Question 2

What is the Path, pts, Dx and tx of AMS with electrolytes in post op?

Answer 2

Path: we control feeding, electrolytes, fluid
Pt: AMS
Dx: BMP
Tx: Na and Ca replacement

Question 3

What are the path, pt, Dx, tx of hypoxia in AMS in post op?

Answer 3

Path:Atelectasis, pain of post op, underlying dz

Pt: AMS low Sat

Dx: Pulse Ox, ABG

Thx: oxygen incentive spirometer

Question 4

What are the path, pt, Dx, tx of ARDS in AMS in post op?

Answer 4

Path: Non Cardiogenic pulmonary edema
Pt: hard course in ICU
Dx: CXR shows white out
Tx: PEEP

Question 5

What are the path, pt, Dx, tx of delerium tremens in AMS in post op?

Answer 5

Path: Alcohol withdrawal
Pt: 48-72 after admission, hypertension, tachycardia, diapheretic, Hallucinations

Dx: Clinical

Tx: Benzos

PPX: Lomg acting Benzos