Delirium resident survival guide
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Pratik Bahekar, MBBS [2]
Definition
Delirium is an acute and relatively sudden (developing over hours to days) decline in attention-focus, perception, and cognition.
Causes
Life Threatening Causes
- Acute Liver failure
- Acute Renal failure
- Adrenal cortex insufficiency
- Brain infection
- Burns
- Carbon monoxide toxicity
- Cardiac failure
- Cerebral oedema
- Cerebrovascular accident
- Cyanide
- Diabetic hypoglycemia
- Diabetic ketoacidosis
- Drug overdose
- Drug withdrawal e.g. ethanol, benzodiazepines
- Epileptic seizures
- Head injury
- Heart failure
- Hypertensive encephalopathy
- Hypoglycemia
- Hypoxemia
- Raised intracranial pressure
- Sepsis
- Wernicke's encephalopathy
Common Causes
- Antihistamines
- Antipsychotics
- Chronic Liver failure
- Chronic Renal failure
- Folate deficiency
- Hyperthyroidism
- systemic inflammatory response syndrome
- Systemic organ failure
- Schizoaffective disorder
- Thiamine (Vitamin B1) deficiency
- Vitamin B12 deficiency
Management
Diagnosis
Treatment
Do's
Dont's
References
- ↑ "http://psychiatryonline.org/content.aspx?bookID=28§ionID=1663978". External link in
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(help) - ↑ "Matching the Environment to Patients with Delirium: Lessons Learned from the Delirium Room, a Restraint‐Free Environment for Older Hospitalized Adults with Delirium - Flaherty-2011 - Journal of the American Geriatrics Society - Wiley Online Library".