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6 Cards in this Set
- Front
- Back
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A sudden and significant decline in mental functioning not better accounted for by a preexisting or evolving dementia is called...
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delirium
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What are the 4 major causes of delirium?
What is the more full mnemonic? |
Underlying medical condition
Substance intoxication Substance withdrawal Combination of any or all of these I WATCH DEATH Infections, withdrawal, actue metabolic, trauma, CNS, hypoxia, deficiencies, Endocrinopathies, Acute vascular, toxins or drugs, heavy metals |
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What are the clinical features of delirium?
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Prodrome
* Fluctuating course (Sx WAX and WANE) Attentional deficits Arousal /psychomotor disturbance Impaired cognition Sleep-wake disturbance Altered perceptions Affective disturbances |
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Describe the prodrome of delirium.
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Restlessness
Anxiety Sleep disturbance This is a patient that just isn’t quite right- can’t get comfortable, is edgy, can’t sleep. And they may be thinking just fine at this point. **early warning signs** |
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What is the key feature in differentiating the impaired cognition of delirium with that of dementia?
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disorientation is sudden onset in delirium... (time of day, place, people, etc... this only happens LATE stage in dementia)
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What is the clinical workup of delirium?
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Electrolytes
CBC EKG CXR EEG- not usually necessary Arterial blood gas or Oxygen saturation Urinalysis +/- Culture and sensitivity Urine drug screen Blood alcohol Serum drug levels (digoxin, theophylline, phenobarbital, cyclosporin, lithium, etc) |
