Cognitive Disorders (Gas #17) Flashcards Preview

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Flashcards in Cognitive Disorders (Gas #17) Deck (32)
0

Delirium short or fast onset?

Short, quick

1

Delirium is characterized as what and who can get it?

A disturbance of consciousness and anyone at any age can develop it

2

Is delirium reversible?

Yes

3

S/s of delirium

Difficulty sustaining & shifting attention, Extreme distractibility, disorganized thinking, impaired reasoning, disoriented to time and place, impaired recent memory, misperceptions about the environment, illusions, hallucinations, they hear things in the wall etc

4

Autonomic manifestations of delirium

Tachycardia, sweating, flushed face, dilated pupils, elevated bp

5

Causes of delirium

Drug related, rxn to anesthesia, infection (sepsis, UTI)

6

Delirium treatment

Determine and correct underlying cause, low stimulus in room, SAFETY

7

What meds can be used for Delirium to control the accompanying agitation or substance withdrawl

Low dose Neuroleptic agents (haldol, Thorazine) & Benzodiazepines for alcohol withdrawal

8

Dementia a slow onset or fast?

Slow, progressive

9

Dementia s/s

Impairment of abstract thinking, judgement and impulse control, doesn't know how to act in a social setting, appearance and hygiene are neglected, personality changes, language may or may not be affected

10

Is dementia reversible?

If it is caused by a stroke it is but in MOST individuals it's not

11

Mild stage of dementia s/s

Difficulty remembering names, apathy (lack of emotion)

12

Moderate stage of dementia s/s

Impaired judgement,disorientation, behavior changes, depression

13

Severe stage of dementia s/s

Difficulty speaking, swallowing

14

What stages of dementia are stages where a patient can still live at home if they have lots family support?

Mild & moderate

15

Dementia is associated with which diseases

Alzheimer's, vascular dementia, picks disease, creutzfedt-Jakob disease, Parkinson's disease, huntingtons

16

Alzheimer's disease causes

Acetylcholine alterations, plaques and tangles, head trauma, genetic factors

17

What happens with the brain with Alzheimer's disease

Cells shrink and die

18

Mixed dementia

Alzheimer's and vascular neuro cognitive disorder

19

Causes of vascular neuro cognitive disorder

Arterial HTN, cerebral emboli, cerebral thrombosis,

20

Meds for cognitive impairment

Donepezil (aricept), rivastigmine (exelon), galantamine (razadyne), memantine (namenda)

21

Donepezil (aricept), rivastigmine (exelon), galantamine (razadyne), memantine (namenda) are used for?

Cognitive impairment

22

Donepezil (aricept) is used for and when do you take it and what does it do

Used for cognitive impairment, once a day at bedtime, it helps slow memory loss with moderate-severe dementia

23

Side effects of Aricept and what stages is it effective at

All stages; NV, loss of appetite, increased frequency of bowel movements

24

Razadyne side effects and what stage is it most effective at treating

Mild to moderate; NV, loss of appetite, increased frequency of bowel movements

25

Exelon side effects and which stage is it most effective at treating

Mild to moderate; NV, loss of appetite, increased frequency of bowel and bladder movements, skin irritation

26

Namenda side effects and which stage is it most effective at treating?

Moderate to severe; HA, constipation, confusion, dizziness

27

Difference between amnesia and dementia

Amnesia doesn't have apraxia, aphasia, agnosia (inability to recognize sights, sounds, words, or other sensory info) like dementia pts

28

Amnestic disorders are caused by

Stroke, head injury, chronic alcohol ingestion

29

Amnesia treatment

Remove underlying cause, rehab to try and help memory

30

Communication strategies for dementia

Be below eye level, approach from front, shake hand or hug is able, say name not "honey", remind them who you or others are if they can't remember, small direct no more than 7 words, positive

31

What's important to keep with dementia patients?

Routine!