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24 Cards in this Set
- Front
- Back
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All Confusion is not Dementia
T or F |
true
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delirium is the result of widespread alteration in cerebral metabolic activity, with secondary deregulation of neurotransmitter synthesis and metabolism
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blank
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Delirium is due to...
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a secondary cause. this is why it tends to occur acutely.
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______ % of ppl with delirium Return to baseline (can take 6 months)
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50%
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Delirium may serve as a marker for...
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future cognitive decline
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what is the main risk factor for delirium?
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demantia
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DSM IV criteria for delirium
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Clouding of consciousness
cognitive change Development over short period of time Evidence of a GMC |
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Mini Mental Status Exam is a...
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innacurate tool to screen for delirium
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if asterixis (flapping hand movment is present) what can it pt to?
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a metabolic problem. be sure to check urea and ammonia
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Major Risk Factors for the Development of Delirium
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Dementia
Pre-existing Cognitive Decline History brain trauma or seizure Previous Delirium |
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Dehydration and Severe illness are also risk factors for delirium
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blank
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Causes of Delirium: A Checklist
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D- drugs
E- endocine M- metabolic E- epilepsy N- neoplasm T- trama I- infection A- apoplexy (vascular event) |
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Any drug can potentially cause confusion
T or F |
true
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Take a careful history of any new drug STARTED or any old drug STOPPED recently as there can be withdrawal and toxicity
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blank
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is delirium a clinical diagnosis?
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yes
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what is the significance of a positive UA in the elderly?
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can be the cause of delirium
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how can delirium appear on an EEG?
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diffuse slowing of the background EEG.
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Delirium Tremens is associated with...
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alcohol withdrawal
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how would an EEG look with Delirium Tremens
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EEG would show fast activity
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managment of someone with delirium
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restraints, remove the offender,
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Use a SINGLE medication rather than two, to decrease the potential for side effects/drug interactions.
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blank
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Relatively contraindicated in Delirium from Hepatic Encephalopathy. drug?
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BZD
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Best reserved for Delirium 2o to alcohol. drug?
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BZD
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is delirium a medical emergency?
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yes
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