ICU Delerium Flashcards Preview

Med Surg III exam 3 > ICU Delerium > Flashcards

Flashcards in ICU Delerium Deck (12):
1

What is delerium

Change in cognition/perception ( STM, disorientation, hallucinations, NOT due to psychiatric conditions, emotional lability, sleep-wake disturbance)

Alterations in LOC (decreased environmental awareness)

Inattention (perseverates)

Abrupt onset (hrs/days)(fluctuates)

2

Delerium subtypes

Hyperactive: 1% (agitated, increased motor activity)

Hypoactive: 44% (sleepy, inattentive)

Mixed: 55%

3

What percentage of ICU pts develop delerium

20-80%

4

Onset of ICU delerium

Day 2 (+/-2)

5

Duration of ICU delerium

4 (+/-2) days

6

ARDS pts and delerium

50% in ICU, 10% at discharge

7

Richmond Agitation Sedation Scale (RASS)

+4 Combative
+3 Very agitated
+2 Agitated
+1 Restless
0 Alert/calm
-1 Drowsy
-2 Light sedation (<10s eye contact)
-3 Moderate sedation (no eye contact)
-4 Deep sedation (response to physical stimulus only)
-5 Unarousable

8

Presence of delerium has what affect on risk of death

2-13x increased

9

Delerium is associated with long-term_______

cognitive impairments

10

Delerium ICU and Hospital stay

ICU (8 days vs 5 w/o)
Hospital (21 days vs 11 days w/o)

11

Delerium management

Sedation
Sleep
Mobilization

12

_______ is a valid, reliable, and quick assessment for delerium

CAM-ICU