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9 Cards in this Set

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  • Back
What are you “just asking for” if you give a patient over the age of 80 a benzodiazepine?
a fall
What may serve as a marker for future cognitive decline in a sick/ elderly patient?
delirium

Follow pt. closely and watch out for dementia
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
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
What medications are associated with delirium?
ANY DRUG CAN CAUSE CONFUSION
T/F
Delirium is a clinical diagnosis
True
What does the EEG show in delirium?

**EXAM**
EEG shows a diffuse slowing of the background rhythm.
Is delirium a medical emergency?
YES!
Compare Delirium and Dementia:

-Onset
-Duration
-Attention
-Level of Consciousness
-Speech