Chapter 026 Confusion and Delirium (Part 2) potx
Chapter 026. Confusion and Delirium (Part 2) potx
...
Chapter 026. Confusion and Delirium
(Part 2)
Epidemiology
Delirium is a common disease, but its reported incidence has varied ... episode of delirium was viewed as a transient
condition that carried a benign prognosis. Delirium has now been clearly
associated with substantial morbidity and increased mortality, and is increasingly ...
home, and are more likely...
Chapter 026. Confusion and Delirium (Part 7) potx
... Simple standard nursing practices such
as maintaining proper nutrition and volume status as well as managing
incontinence and skin breakdown also help to alleviate discomfort and resulting
confusion. ...
impairment, sleep deprivation, and dehydration. Significant reductions in the
number and duration of episodes of delirium were observed in the treatment
group, but unfortuna...
Chapter 026. Confusion and Delirium (Part 1) pdf
... Chapter 026. Confusion and Delirium
(Part 1)
Harrison's Internal Medicine > Chapter 26. Confusion and Delirium
Confusion and Delirium: Introduction
Confusion, a mental and behavioral ... delirium remain largely unknown and understudied.
Some episodes of delirium continue for weeks, months, or even years. The
persistence of delirium in some pat...
Chapter 026. Confusion and Delirium (Part 3) pptx
... 1990.
History
Chapter 026. Confusion and Delirium
(Part 3)
Approach to the Patient: Delirium
As the diagnosis of delirium is clinical and made at the bedside, a careful
history and physical ... autonomic instability, and changes in affect
Table 26-1 The Confusion Assessment Method (CAM) Diagnostic
Algorithm
The diagnosis of delirium requires the presence of...
Chapter 026. Confusion and Delirium (Part 4) pps
... skin and soft
tissue infections, sepsis
CNS infections: meningitis, encephalitis, brain abscess
Endocrinologic conditions
Hyperthyroidism, hypothyroidism
Chapter 026. Confusion and Delirium ... history and
physical examination, while others require confirmation with laboratory studies,
imaging, or other ancillary tests. A large, diverse group of insults can lead to
deliriu...
Chapter 026. Confusion and Delirium (Part 5) pps
... cause delirium, and mild derangements can
lead to substantial cognitive disturbances in susceptible individuals. Other
common metabolic etiologies include liver and renal failure, hypercarbia and ... deficiencies of thiamine and B
12
, autoimmune disorders
including CNS vasculitis, and endocrinopathies such as thyroid and adrenal
disorders.
Systemic infections often cause d...
Chapter 026. Confusion and Delirium (Part 6) pdf
... evaluation
Systemic infection screen
Urinalysis and culture
Chest radiograph
Blood cultures
Chapter 026. Confusion and Delirium
(Part 6)
LABORATORY AND DIAGNOSTIC EVALUATION
A cost-effective ...
Endocrinologic laboratories: thyroid-stimulating hormone (TSH) and free
T4; cortisol
and herbals)
General physical examination and neurologic examination
Complete bl...
Chapter 046. Sodium and Water (Part 2) potx
... are manifest as ECF volume contraction or
expansion and imply abnormal Na
+
balance.
Sodium Intake
Chapter 046. Sodium and Water
(Part 2)
Water Excretion
In contrast to the ingestion ...
ensue and are manifest as edematous or hypovolemic states, respectively. It is
important to distinguish between disorders of osmoregulation and disorders of
volume regulation sin...
Chapter 040. Diarrhea and Constipation (Part 2) potx
... Chapter 040. Diarrhea and
Constipation
(Part 2)
Neural Control
The small intestine and colon have intrinsic and extrinsic innervation. The
intrinsic ... the small intestine and colon are part of the
autonomic nervous system and also modulate motor and secretory functions. The
parasympathetic nerves convey visceral sensory and excitatory pathways ... non-neural me...
Chapter 053. Eczema and Dermatitis (Part 2) potx
... Chapter 053. Eczema and
Dermatitis
(Part 2)
Figure 53-1
there is little evidence they play any role outside ... anti-
inflammatory agents, and prompt treatment of secondary infection. Patients should
be instructed to bathe no more often than daily using warm or cool water, and to
use only mild bath soap. ... ordered if the isolate is
erythromycin-resistant and clin...