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12 Cards in this Set
- Front
- Back
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Who is at risk of delirium?
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previous delirium
multiple comorbidities male alcohol excess sensory impairment underlying depression/ anxiety Pain sleep deprivation immobilization dehydration environment (ICU) |
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Ways to prevent delirium
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alert care team of anticipated problems
correct sensory deficits ensure quiet environment mobilize minimize use of lines/ tubes optimize bowel and bladder function review meds |
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What is the CAM criteria for delirium?
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altered level of consciousness
+ acute onset with fluctuating course + inattention or disorganized thinking |
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What are the precipitants for delirium?
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MEDS (EtOH)
MEDS (OTC) MEDS (Rx) INFECTION METABOLIC CARDIAC |
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What is the suggested work up for delirium?
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CBC
Electrolytes + Mg Phos Calcium/Albumin Glucose Renal Liver TSH Urinalysis/ Culture CXR |
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What is the management for Delirium?
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Treat underlying causes
reorientation and reassurance optimize surroundings early mobilization optimize meds (sedatives, Anticholinergics, opiods) pain management |
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What are potential complications of delirium?
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Aspiration Pneumonia
DVT/PE Injury Pressure ulcers deconditioning drug side effects |
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When are chemical restraints appropriate?
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Risk of harm to self or others
initial patient care/ investigations compromised Psychotic symptoms distressing to patient |
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Who is at higher risk of developing depression?
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women
single or widowed medical illness stressful life event lack of social support |
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How does depression manifest in older adults?
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less likely to report depresses mood
less likely to report guilt less likely to meet full MDD criteria somatic complaints more common cognitive impairment psychosis |
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What illnesses are associated with higher levels of depression in seniors?
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dementia
cerebrovascular disease parkinson's |
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True or False:
Suicide rates are higher in seniors than any other group |
True
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