Delirium
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Delirium
description
Delirium. Delirium. Disturbances of consciousness A change in cognition Developing over a short period of time. Delirium Epidemiology. 5-15% in hospitalized patient 20-30% in ICU and CCU 40-50% after surgery of hip fractures 90% in postcardiotomy patients 20% in severe burns - PowerPoint PPT Presentation
Transcript of Delirium
Delirium
Delirium
Disturbances of consciousness A change in cognition Developing over a short period of time
DeliriumEpidemiology
5-15% in hospitalized patient 20-30% in ICU and CCU 40-50% after surgery of hip fractures 90% in postcardiotomy patients 20% in severe burns 80% in terminally ill patients
DeliriumRisk Factors
Advanced age Brain damage History of delirium Alcohol dependence Diabetes Cancer Sensory impairment Malnutrition
Causes of delirium
CNS Disease Drugs Metabolic insufficiency Alcohol withdrawal syndrome Systemic infection Deficiency disease Electrolyte imbalance Postoperative states trauma
DeliriumEtiology
Decreased acetylcholine activity in brain
Decreased oxidative metabolism Increased NE, dopamine ,glutamate in
brain Abnormality of endocrine system
symptoms Consciousness -Attention -Orientation Behavior Thinking Mood Perception Memory
Differential diagnosis
Psychosis Dementia Pseudodementia
DeliriumLaboratory work up
CBCdiff TFT Blood chemistries:
Electrolytes
Renal
Hepatic
glucose
Urinanalysis ECG CXR EEG HIVtest Additional tests
CTscan
LP…..
DeliriumTreatment
Treating of underlying cause Physical ,sensory and environmental
support Treatment of psychosis Treatment of insomnia
Delirium
Course prognosis
