Dlm Flashcards

1
Q

Impairment of consciousness - 4 terms?

A

cloudiness, drowsiness, supor, coma

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

alertness?

A

can be hyper alert (cctv), hypo alert, or mixed

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

orientation?

A

disorientated in TIME mostly, can also be disorientated in place and person

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

most common emotion? (masks)

A

fear

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

what kind of intervals do you get?

A

lucid intervals

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

auditory hallucinations - what are they usually?

A

threatening

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

delusions are usually?

A

persecutory (harm is coming)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

sleep - what happens?

A

insomnia, sleep loss, nocturnal worsening of symptoms, disturbing dreams and nightmares

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

how do heart problems cause delirium?

A

hypoxia in brain

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

respiratory problems?

A

hypoxia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

other causes?

A

thyroid, liver failure, pancreatitis, renal failure, UTI, infections (max), head injury, encephalitis, tumours, epilepsy, drug/alcohol intoxication

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

hypothermia/hyperthermia can cause delirium

A

y

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

prescribed drugs that can cause it?

A

cemetidine, anti parkinsonian, anti cholinergic, anti convulsants, sedatives (benzos), opiods

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

withdrawal from 4 things ?

A

alcohol, benzos, barbiturates, illicit drugs

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

hypoxia, hypoglycaemia, thyroid problems, carcinoid syndrome can cause delirium

A

y

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

investigations?

A

cover all main causes i.e. CXR, TFTs, FBC, Us and Es

17
Q

why would you do MRI/CT brain?

A

stroke/tumours

18
Q

what kind of management do these patients need?

A

bright room , low staff changes, calendar, clock, glasses, hearing aids,

19
Q

why cautious with sedating drugs?

A

can make them more confused

20
Q

alcohol withdrawl - what drug?

A

chlordiazepoxide

21
Q

treatment of delirium (normal)

A

haloperidol orally then IM

22
Q

what 3 conditions would you give lorazepam?

A

parkinsons, lewy body dementia, neuroleptic syndrome

23
Q

why need to review frequently?

A

although it can improve quickly, it can also worsen quickly

24
Q

what is the mean duration of delirium?

A

1-4 weeks

25
Q

what 2 conditions is depression very common after?

A

stroke and MI