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Delirium Power Point Presentation
Delirium Power Point Presentation
Delirium Power Point Presentation
Implication of right side brain region
Causes
Reduced cholinergic function
Causes
Excess release of dopamine
Causes
Increased serotonergic activity
to
Leads
DELIRIUM
Manifestations
• Nervous System
- Cognitive Impairment
- Disturbances of Attention
- Reduced level of
Consciousness
- Disorganized sleep-wake
cycle
• Musculoskeletal System
-Increased or decreased
psychomotor
Diagnostic Tests:
• CBC
• sedimentation rate
• BUN
• blood alcohol level
• urinalysis
• urine drug screen
• CT scan of the brain and EEG
• Arterial blood gases
• ECG
• Thyroid tests
• MRI
Delirium is a clinical diagnosis. Diagnosis is based
on observed changes in mental status that are
related to some underlying medical disturbance.
Delirium is diagnosed through the medical history
and recognition of symptoms during mental status
examination. The most important part of diagnosis
is determining the cause of the delirium.
Several formal instruments have been
developed to help diagnose and monitor
the clinical course of delirium: the
Clinical Assessment of Confusion; the
Delirium Symptom Inventory; and the
Delirium Rating Scale. These
instruments are generally used for
research. Standard psychiatric and
medical examinations are usually
sufficient to diagnose and evaluate
delirium.
Medications
Neuroleptics
• Haloperidol (Haldol) Adult Moderate symptomatology: 0.5-2
mg PO bid/tid
A butyrophenone high-potency antipsychotic. One of most
effective antipsychotics for delirium. High-potency antipsychotic
medications also cause less sedation than phenothiazines and
reduce risks of exacerbating delirium.