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9 Cards in this Set
- Front
- Back
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What are you “just asking for” if you give a patient over the age of 80 a benzodiazepine?
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a fall
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What may serve as a marker for future cognitive decline in a sick/ elderly patient?
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delirium
Follow pt. closely and watch out for dementia |
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List the 4 key characteristics of delirium as outlined by DSM (IV)
**EXAM** |
1. Clouding of consciousness with reduced ability to focus, sustain, or shift attention
2. A cognitive change (e.g., memory deficit, disorientation, language disturbance) or perceptual disturbance that is not better accounted for by a preexisting, established, or evolving dementia 3. Development over short period of time (hours to days), with a tendency to fluctuate during the course of the day 4. Evidence from the history, physical examination, or laboratory studies that the disturbance is caused by a general medical condition, medication or other substance exposure, substance withdrawal, or multiple etiologic disorders |
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In this type of delirium patients appear lethargic, have excess somnolence and are sluggish
These individuals are often not recognized as they do not cause a disturbance |
Hypoactive Delirium
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What medications are associated with delirium?
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ANY DRUG CAN CAUSE CONFUSION
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T/F
Delirium is a clinical diagnosis |
True
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What does the EEG show in delirium?
**EXAM** |
EEG shows a diffuse slowing of the background rhythm.
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Is delirium a medical emergency?
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YES!
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Compare Delirium and Dementia:
-Onset -Duration -Attention -Level of Consciousness -Speech |
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