ICU Delirium

Question 1

what is delirium?

Answer 1

change in cognition and/or perception
alteration in LOC
inattention
abrupt onset(hrs/days)

Question 2

change in cognition and/or perception from delirium include?

Answer 2

Short-term memory, disorientation
Hallucinations: auditory or tactile
Not due to an underlying psychiatric condition
May have delusion, disorg speech, emotional lability, sleep-wake disturb.

Question 3

subtypes of ICU delirium include?

Answer 3

hyperactive
hypoactive
mixed

Question 4

hyperactive ICU delirium pts are

Answer 4

agitated
increased motor activity
makes up 1%

Question 5

hypoactive ICU delirium pts are

Answer 5

sleepy
inattentive
decreased motor activity
make up 44%

Question 6

Mixed ICU delirium makes up _____%

Answer 6

55%

Question 7

_____-____ of ICU pts develop delirium at any point and is frequently unrecognized or _______ by clinicians

Answer 7

20-80%

misdiagnosed

Question 8

onset is usually ICU day ____

Answer 8

2

Question 9

Duration is usually ____ days

Answer 9

4

Question 10

what does 4+ mean on the RASS?

Answer 10

combative

Question 11

what does 3+ mean on the RASS?

Answer 11

very agitated

Question 12

what does 2+ mean on the RASS?

Answer 12

agitated

Question 13

what does +1 mean on the RASS?

Answer 13

restless/anxious

Question 14

what does 0 mean on the RASS?

Answer 14

alert and calm

Question 15

what does -1 mean on the RASS?

Answer 15

drowsy (eyes open longer than 10 sec)

Question 16

what does -2 mean on the RASS?

Answer 16

light sedation (eyes open less than 10 secs)

Question 17

what does -3 mean on the RASS?

Answer 17

moderate sedation (no eye contact)

Question 18

what does -4 mean on the RASS?

Answer 18

deep sedation (respond only to physical stimulation)

Question 19

what does -5 mean on the RASS?

Answer 19

unarousable

Question 20

Delirium is independently associated with _____-____ times increased risk of death

Answer 20

2-13

Question 21

True or False

There is a correlation that the longer the duration of delirium the higher risk of long term cognitive impairment

Answer 21

true

Question 22

delirium increased length of stay in ICU from ____ to ___

Answer 22

5 days to 8 days

Question 23

delirium increased length of stay in hospital from ____ to ___

Answer 23

11 days to 21 days

Question 24

how is delirium managed?

Answer 24

sedation
improve sleep
early mobilization of pts

Question 25

True or False | For best delirium management with sedation, maximimze the excess use of benzodiazepines and narcotics

Answer 25

False | minimize

Question 26

True or False | Decreased sedation, improved sleep quality and early mobilization decrease delirium incidence

Answer 26

True