Reading...
Play button
Play button
Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
13 Cards in this Set
- Front
- Back
|
What is the general definition of Delirium?
|
Waxing/Waning level of consciousness
Changes in sensorium |
|
|
What is the general definition of Dementia?
|
Gradual decline in intellectual ability
Memory loss |
|
|
Which is acute, which is chronic?
|
Delirium - acute onset
Dementia - chronic onset |
|
|
What is very characteristic regarding the level of thinking and cognition in delerium?
|
Disorganized thinking
Hallucinations Illusions Disturbance in sleep/wake cycle |
|
|
What is very characteristic regarding the level of thinking and cognition in dementia?
|
Memory deficits
Aphasia/Apraxia/Agnosia Loss of abstract thought Behavioral/Personality changes Impaired Judgement |
|
|
Which is reversible?
|
Delirium
|
|
|
Is delirium usually a primary or secondary illness?
|
Secondary to another illness
|
|
|
What is the most common presentation of altered mental status in inpatient setting?
|
Delirium
|
|
|
How do you treat delirium?
|
ID and address the underlying cause
Optimize brain condition Antipsychotics (haliperidol) |
|
|
What does the T-A-DA approach to delirium?
|
Tolerate
Anticipate Don't Agitate |
|
|
Can a patient with dementia develop delirium?
|
YES
IE: pt with alzheimers who develops pneumonia is at higher risk for delirium |
|
|
What are some causes of dementia?
|
Alzheimer's
Cerebral vascular infarcts HIV Pick's Disease Chrnoic Substance Abuse Creutzfeldt-Jakob (Mad Cow) NPH |
|
|
What is pseudodementia?
|
In elderly pt's, depression presents as dementia
The difference between this and dementia is that these pt's KNOW they have memory deficits, dementia pt's have no idea they are having memory deficits |
