hepaticrenal dysfunction electrolyte imbalance metabolic

Hepaticrenal dysfunction electrolyte imbalance

This preview shows page 5 - 6 out of 6 pages.

hepatic/renal dysfunction dianetes/hypoglycemia electrolyte imbalance metabolic endocrine nutritional defeciences toxic substances CT scan Image of the size/shape of the brain MRI Image of soft tissue in the body Lumbar puncture Cerebrospinal fluid for evidence of CNS infection or hemorrhage PET Positron emission tomography Metabolic activity of the brain Planning RISK for Trauma FOR PATIENT WHO WANDERS INCREASE STRESS anxiery INCREASE WALKING AT NIGHT DUE TO DIURNAL RHYTM Delirium may produce the abrubt onset of wandering Keep patient on a structured schedule Allow client to have as many personal belongings as possible can provide a degree of comfort Validation therapy Validate emotions and encourage to express , accepting the fact that there is a reason behind the behavior… Allow the old man to know that the wife died, do not lie, allow him to grieve over wife. DELIREUM Determine what is causing it Attention to fluid and electrolyte status Hypoxia Anoxia Diabetic problems
Image of page 5

Subscribe to view the full document.

Treatment for delirium Lowdose antipsychotics Benzodiazepam(lorazepam) when it substance withdrawal Atypical antipsychotic Risperidone Olanzapine Quetiapine Ziprasidone All are favored = less likely to cause anticholinergic side effects Confusion, blurred vision, constipation, dry mouth, dizziness, urinating and bowel diffulty Older people, and with NCD (neurocognitive disorder) already have decrease cholinergic toxicity Depression SSRI- first line of treatment Sertraline Paroxetine Trycyclic antidepressant AVIODED =cardiac/anticholinergic side effects Anxiety Antianxiety meds least toxic Diazepam(valium) long acting Chlordiazepoxide(Librium) Alprazolam (Xanax) Lorazepam(Ativan) Oxazepam(sears) Shorter life lorazepam/oxazepam =preferred Sleep disturbance Benzodiazepines Flurazepam (dalmane Temazepam(Restoril) Triazolam( halcion) Barbituates should not be used in old patients
Image of page 6
  • Summer '19

What students are saying

  • Left Quote Icon

    As a current student on this bumpy collegiate pathway, I stumbled upon Course Hero, where I can find study resources for nearly all my courses, get online help from tutors 24/7, and even share my old projects, papers, and lecture notes with other students.

    Student Picture

    Kiran Temple University Fox School of Business ‘17, Course Hero Intern

  • Left Quote Icon

    I cannot even describe how much Course Hero helped me this summer. It’s truly become something I can always rely on and help me. In the end, I was not only able to survive summer classes, but I was able to thrive thanks to Course Hero.

    Student Picture

    Dana University of Pennsylvania ‘17, Course Hero Intern

  • Left Quote Icon

    The ability to access any university’s resources through Course Hero proved invaluable in my case. I was behind on Tulane coursework and actually used UCLA’s materials to help me move forward and get everything together on time.

    Student Picture

    Jill Tulane University ‘16, Course Hero Intern

Ask Expert Tutors You can ask You can ask ( soon) You can ask (will expire )
Answers in as fast as 15 minutes