delirium Flashcards
(7 cards)
1
Q
PC
A
disturbed consciousness; hypo or hyper active - commonly mixed
change in cognition: memory, language, illusions
ACUTE ONSET + FLUCTUANT
2
Q
Common?
A
commonest complication of hospitalisation
3
Q
Risks of delirium
A
increased mortality
longer stay
increased rates of institutionalisation
persistent functional decline
4
Q
triggers
A
infection drugs (new) dehydration constipation hypoxia drug/alcohol withdrawal
5
Q
diagnosis?
A
4AT on admission
6
Q
if delirium suspected which management plan?
A
TIME (aim <2hrs) T: think, exclude + tx triggers I: investigations + intervene M: manangement plan E: engage + explore
7
Q
tx
A
use carers/family - re orientate
early mobilisation
normalise sleep wake cycle
