Delirium Flashcards
1
Q
How to diagnose delirium
A
CAM score (1,2,3 or 1,2,4)
- Acute confusion with fluctuating course
- Inattention
- Disorganised thinking
- Altered consciousness
2
Q
Causes of delirium
A
Major surgery Infection (UTI) Pain Drugs Preexisting dementia Constipation Urinary retention Dehydration Hip fracture Alcohol withdrawal
3
Q
What drugs are responsible for delirium
A
TCA Opioids Benzodiazepines Hyoscine Gabapentin Oxybutynin Antihistamines Ranitidine
4
Q
Management of delirium
A
Orientate - clock, calendar, don't transfer, continuity of care, encourage relatives to visit, familiar surroundings Ensure wearing glasses and hearing aids Treat constipation and urinary retention Treat infection Manage pain Keep hydrated Medication review Encourage normal sleep cycle Avoid sedation if possible - however 1st line haloperidol for agitation. Lorazepam if PD.
