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Delirium - Coggle Diagram
Delirium
Features
Disordered thinking
Reduced attention
Abnormal sleep/wake cycle
Abnormal perceptions
Abnormal emotions
Abnormal psychomotor
Management
Awake
Daily sedation holds
Breathing
Spontaeous breathing trials
Coordination
Delerium monitoring
Early mobilisation
Family
CAMICU
Acute onset
Different to normal
Fluctuated in the last 24 hours
Alterered level of conciousness
RASS>-3
Anything other than RASS = 0
Inattention
SAVEHAART
2 errords
Disorganised thinking
Will a stone float on water?
Are there fish in the sea
Does one pound weigh more the two pounds
Can you use a hammer to pound a nail
Hold up two fingers
Types
Hyperactive
hypoactive
Mixed
Risk factors
Patient
Age
Comorbidities
Cognitive impairment
Alcohol or substance misuse
Modifiable
Glasses
Hearing aids
Environmental
Disturbed sleep cycle
Sedatives (benzodiazepines
Anticholinergic burdon
Consequences
3x increase in 6 month mortailty
5 extra days mechnical ventilation
Defintion
acute change in conciousness
fluctuates over time
Pathophysiology
Common pathway
Neuroinflammation
Oxidative stress
Apopotosis
Neurotransmitter imbalance
<acytylcholine
dopamine