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21 Cards in this Set
- Front
- Back
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? is always secondary to another physiological condition, it is transient and develops over a short period of time.
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delirium
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With delirium if the underlying ? is corrected, complete recovery should occur.
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condition
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S/S of delirium = ?,?,?,? Fluctuating levels of consciousness i.e.- alternating periods of ? with periods of ?. Disorientation worsens at the end of the day, referred to as ? syndrome.
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↑BP, ↑HR, diaphoretic, dilated pupils,
coherence, confusion, sundown |
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Watch for questions that talk about how the patients mental status has changed in a short period of time (hrs-days). Delirium can persist from ?-? months.
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3-6
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? delirium is not as easily picked up on. It is noted only on careful questioning.
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mild
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In more sever delirium, memory problems usually take the form of obvious difficulty in processing and remembering ? events.
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recent
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If delirium is left untreated it can lead to ?,?,?,?
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seizures, come, stupor, death
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There are different types of delirium - delirium due to a general ? condition, due to substance-?, substance- ?, due to ? etiologies, due to not otherwise ?
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medical,
intoxication, withdrawal, multiple, specified |
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Delirium may or may not be accompanied by ?
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psychosis
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Prevelance in the general population is ?%, in adults greater than 55 it jumps up to ?%
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0.4%,
1.1% |
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Several examinations should be done throughout the day to detect ? in levels of consciousness that characterize delirium.
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fluctuations
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A thorough Hx should be done to rule out other disorders that may ? the symptoms of delirium.
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mimic
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With delirium patterns of hyperactive activity are typical of ? withdrawal and hypoactive activity is typical of ? imbalance.
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drug,
metabolic |
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We may see sleep pattern distubances with delirium, the pt may have vivid terrifying ?'s, excessive ? during the day, inability to sleep at ?
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nightmares,
sleepiness, night |
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Speech and language problems with derlirium can include ? a problem with articulation, ? impaired ability to name an object, ? impaired ability to read/write, ? difficulty getting ideas to words.
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dysarthria,
dysnomia, dysgraphia, Aphasia |
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Delirium is caused by temporary, a reversible ? in brain function.
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disturbance
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The delirious pt can suffer with hallucination, delusion, and ?
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illusions
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A pt with delirium may act on ? and have a loss of usual ? behavior
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impulse,
social |
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Nursing interventions for delirium include- maintaining ? and ? balance b/c these can lead to life-threatening problems.
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nutrition,
fluid |
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A delirious pt should only be restrained when necessary since it increases ? and ?; ? is a priority so one-on-one ? should be considered.
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agitation,
fear, safety, observation |
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With a delirious pt we can use repetitive ? to let them know where they are, but we should not reinforce ?
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orientation,
hallucinations |
