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Semester 3 FS Exam 4 > Delirium > Flashcards

Flashcards in Delirium Deck (20):
1

Take home message - delirium is

Treatable and reversible
Must be diagnosed and treated early

2

What is deliirium

Acute confusional state
Disorder of attention and cognition
Common, serious, life threatening and under recognzied

3

Criteria to diagnose delirum

Evidence that disturbance is caused by consequences of a general medical condition
Disturbance of consciousness
Change in cognition or perception disturbance
Rapid onset and tendency to fluctuate

4

DSM 5 - delirium

Disturbance in attnetion
Distrubance develops over short period of time
Change in additional cognitive domain

5

Complications of delirium

Inc mobiditity and mortality
Functional decline
Inc health care costs

6

Risk factors of delirium

Inadequate fluid intake
Dementia
Sensory impairment
Falling in past 30 days
Medications

7

Delirium acronym

Drugs
Electrolyte
Lack of drugs
Infection
Reduced sensory input
Intracranial
Urinary retention
Myocardial

8

Drugs -

Anticholinergics
Anti-inflammatory
Benzodiazepines or alcohol
GI
Opioid analgesics

9

Predictors of delirium

Physical restrains
New medications
Infection
Dehydration

10

Delirium assessment

History
Physical
Mental Status
Laboratory

11

CAM - confusion assessment method

Acute onset and fluctuating course and inattention
Disorganized thinking or altered level of conciousness

12

Tests of attention

Serial 7s from 100
Serial 3s from 40 or 20
World backwards
Months of the year backwards

13

Percentage relationship with those that have demtentia that then develop delirium or vic a versa

40% for both

14

Management

Evaluate and treat medical conditions
Review medication
Attention to care planning needs

15

Non pharmacological management

Environmental manipulation
Acoustic stimulation
Visual stimulation

16

Environmental manipulation - ways to reduce it

Day time stimulation
Quiet time at night
Clock, calendar
Familiar items

17

Acoustic stimulation - ways to reduce it

Overhead systems (eliminate)
Sound proofing (utilize sound absorbing materials)

18

Visual stimulation - ways to reduce it

Glare (minimize glare)
Even lighting is good
View (non ambulatory should be given good views of active areas)

19

Pharmacological management

Typical antipsychotics - haloperidol
Chlorpromazine

20

Prevention of delirium

Sleep
Immobility
Visual/Hearing
Dehydration