The Confusion Assessment Method (CAM) is the best of 11 bedside instruments for assessing delirium, a review found. ... The commonly used MMSE was the least useful for identifying patients with delirium (LR, 1.6; 95% CI, 1.2 to 2.0).
Leff said. Many medications are known to cause delirium, such as sedatives, opioids and anticholinergics. ... Choose pain meds carefully. Although uncontrolled pain can cause delirium, so can many pain medications.
The patient receives 2-mg lorazepam and 50-µg fentanyl boluses intravenously for sedation and 1 to 2 mg of intravenous haloperidol for episodic hyperactive delirium.
Patients with dementia are susceptible to episodes of delirium with any physiological, psychological, or circumstantial stress, as during a hospital admission. ... Delirium superimposed on dementia and “sundowning” should also be documented whenever
0.71%; P<0.001). Zolpidem remained significantly associated with higher fall risk when researchers accounted for gender, age, zolpidem dose, insomnia, delirium status, Hendrich's fall risk score, comorbidities, length ... Patients who took zolpidem were
The drug already carries a boxed warning about post-injection delirium sedation.
Defining urosepsis. I always enjoy your cases. I do have an issue with the “title” for Case 5 in the January 2009 issue (“Test yourself: Delirium, treating drug resistance, fall prevention”).
The intervention did not affect incidence of delirium during hospitalization or readmission or mortality at three months, the authors observed.
The main outcome measure was time to successful extubation, with secondary outcomes including length of ICU and hospital stay, sedative and analgesic doses, delirium, unintentional device removal, and nurse and respiratory ... Length of ICU and hospital
They noted that some of the codes included in the score were associated with acute conditions such as aspiration pneumonia and delirium, but others were less obviously connected to frailty.