Term
| What are some maladaptive cognitive responses? |
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Definition
| passive behaviors where they were not before, impaired memory, disorientation |
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Term
|
Definition
| false sensory perceptions/impressions |
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Term
|
Definition
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Term
|
Definition
| when stimuli is misinterpretted, usually from an organic cause (like withdrawal) |
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Term
| what are some etiologies for delirium? |
|
Definition
| hypoxia, electrolyte imbalance, anesthesia/surgery, uremia, withdrawal |
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Term
| delirium has a ____ onset, and ____ course of illness. |
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Definition
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Term
| what are some drug causes of delirium? |
|
Definition
| opioid analgesics, aspirin OD, antiparkinson meds, anticonvulsants |
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Term
| what change in mental status is consistently seen in individuals with delirium? |
|
Definition
| clouding of consciousness |
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|
Term
| What are some nursing diagnoses for delirium? |
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Definition
| sensory perception alteration, acute confusion, ineffective role performance, noncompliance, impaired home maintenance, risk for injury |
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Term
| Name some adverse effects of antipsychotic meds |
|
Definition
| hypoTN, sedation, EPS, akathisia, NMS, tardive dyskinesia |
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Term
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Definition
|
|
Term
| what is neuroleptic malignant syndrome? |
|
Definition
| fever, tachycardia, muscle rigidity, leukocytosis |
|
|
Term
| what is tardive dyskinesia? |
|
Definition
| stereotyped involuntary movement like blinking, lip smacking, chewing |
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|
Term
| what do anxiolytic drugs do? |
|
Definition
| relieve anxiety, restlessness, anger; may also improve sleep |
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|
Term
| what are the adverse effects of anxiolytic drugs? |
|
Definition
| sedation, decreased cognitive function, loss of coordination |
|
|
Term
| what four variables predict confusion/delirium? |
|
Definition
| comorbidity, presence of infection, elevated BUN/creatinine & increasing age |
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Term
| dementia is marked by a significant decline from ___________. |
|
Definition
| previous level of functioning |
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|
Term
| what are some symptoms of dementia? |
|
Definition
| disorientation, aphasia, apraxia, disturbance in exec. functionsn (like planning and organizing), agnosia, bad social skills, mood swings, "sundowning" |
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Term
| You are with a patient who seems disoriented and is a poor historian. He looks at his daughter for the answers to your questions and has difficulty finding the words or following the conversation. Whats up? |
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Definition
|
|
Term
| what are some REVERSIBLE causes of dementia? |
|
Definition
| adverse drug reaction, depression, nutrition deficiency, infection, tumor |
|
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Term
| describe stage 1 of dementia |
|
Definition
| alert and sociable with mild memory impairment. Their social behavior is intact but they may not do difficult task or hobbies any more |
|
|
Term
| describe stage 2 of dementia |
|
Definition
| increased memory loss, speech problems, disorientation, needs assistance with ADLs, increased agitation, can have hallucinations or delusions |
|
|
Term
| describe stage 3 of dementia |
|
Definition
| loss of long term memory, needs lots of help with all ADLs, intelligible speech |
|
|
Term
| which drugs delay progression of dementia? |
|
Definition
| Ach enhancers like aricept |
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|
Term
| pseudodementia (depression in elderly patients) is responsive to ______________. |
|
Definition
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