Psych disorders in elderly

Question 1

What are the pharmacological causes of delerium?

Answer 1

Benzodiazepenes
Statins, steroids, diuretics, antihypertensives (B-blockers), isosorbide dinitrate, digoxin, anti-arrythmatics
Theophylline
Warfarin/NSAIDs

Question 2

What is the management of delerium?

Answer 2

Conservative: Orientate them in time using clocks and calendars, treat precipitating factors, maintain calming environment

Pharmacological:
1st line: Haloperidol or oral risperidone
2nd line; Benzodiazepene (may make delerium worse)