Work Up for Delirium

Question 1

How should you investigate deranged physiology and CBG?

Answer 1

1. Evaluate respiratory failure, hypothermia, seizures.
2. Exclude worsening hypercapnia
3. Exclude hypoglycaemia

Question 2

In what situations is it low threshold for a CT head in suspected intracranial pathology?

Answer 2

1. Active cancer
2. Immunosuppression
3. Recent falls

Question 3

Which drugs can cause delirium in a vulnerable brain?

Answer 3

AED, lithium, sedatives, BZDs, TCAs, antipsychotics, anticholinergics