Delirium Flashcards

(7 cards)

1
Q

Causes of Delirium

A
Drugs/Dehydration
Electrolyte imbalance
Level of Pain
Infection/inflammation (post surgery)
Respiratory failure
Impaction of faeces
Urinary retention
Metabolic disorder/ MI
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Hyperactive delirium

A

Increased confusion
Hallucinations/delusions
Sleep disturbance
Less co-operative

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

Hypoactive delirium

A

Poor concentration
Less aware
Reduced mobility/movement
Reduced appetite

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

Diagnose Delirium

A

CAM: 1+ 2 + 3/4

  1. Acute onset and fluctuating course
  2. Inattention (distractible, cannot communicate)
  3. Disorganised thinking (illogical, rambling)
  4. Altered consciousness (hypo-hyperalert)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Onset of delirium

A

Sudden

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

Before prescribing haloperidol, what should you do first?

A

Do ECG first (QTc interval)

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

When can you prescribe lorazepam in delirium?

A
If antipsychotics are contraindicated eg:
Parkinson's disease
Lewy Body dementia
Seizures
Elongated QTc >470ms
How well did you know this?
1
Not at all
2
3
4
5
Perfectly