Prolonged ICU and hospital length of stay LOS Development of postICU cognitive impairment Increased mortality Assessment tools Anything but alert is altered CAMICU Includes acute onset or fluctuation in LOC Inattention disorganized thinking andor altered LOC ID: 934336
Download Presentation The PPT/PDF document "Delirium in the critically ill" is the property of its rightful owner. Permission is granted to download and print the materials on this web site for personal, non-commercial use only, and to display it on your personal computer provided you do not modify the materials and that you retain all copyright notices contained in the materials. By downloading content from our website, you accept the terms of this agreement.
Slide1
Delirium in the critically ill
Prolonged ICU and hospital length of stay (LOS)Development of post-ICU cognitive impairmentIncreased mortalityAssessment tools – Anything but alert is alteredCAM-ICUIncludes acute onset or fluctuation in LOC, Inattention, disorganized thinking, and/or altered LOCRASSA positive CAM-ICU or any abrupt cognitive change should not lead directly to anti-psychotics
THINK about possible causesToxic situationsSepsis, deleriogenic agents(benzos), EtOH withdrawalHypoxemia, HypercarbiaConsider ABGInfection or immobilizationNon-pharmacologic CausesConsider sleep hygiene, communication aides(glasses, hearing aids)K+ Correction of electrolytes
Why so Delirious?!