Delirium Mnemotecnia

NEMOTECNIAS EN DELIRIUM
THINK T | Toxic SituationsCHF, shock, dehydrationDeliriogenic meds (Tight Titration)New organ failure, e.g, liver, kidney | H | Hypoxemia; also, considergiving Haloperidol or other antipsychotics? | I | Infection/sepsis (nosocomial), Immobilization | N | Nonpharmacological interventionsHearing aids, glasses, reorient, sleep protocols,music, noise control, ambulation | K | K+ or Electrolyte problems | * Adapted with permission from: Marta Render, MD – Veteran Affairs In-patient Evaluation Center (IPEC) DELIRIUM(S)Differential diagnosis for patients with Delirium (remember: delirium usually has more than one cause) D | Drugs, Drugs, Drugs | E | Eyes, ears * | L | Low 02 states (MI, ARDS, PE,CHF, COPD) ** | I | Infection | R | Retention (of urine or stool), Restraints | I | Ictal | U | Underhydration/Undernutrition | M | Metabolic | (S) |Subdural, Sleep deprivation | * Poor vision and hearing are considered more risk factors than true causes, but should be "fixed" or improved if possible. Cerumen is common cause of hearingimpairment** "Low 02 states" does NOT necessarily mean hypoxia, rather it is a reminder that patients with a hypoxic insult (e.g. Ml, stroke, PE) may present with mental status changes with or without othertypical symptoms/signs of these diagnoses. ICU DELIRIUM (S)Mnemonic for risk factors and causes of ICU DELIRIUM (S). Iatrogenic exposure | Consider any diagnostic procedure or therapeuticintervention or any harmful occurrence that was not a natural consequence of the patient’s illness | Cognitive impairment | Preexisting dementia, or MCI or depression | Use restraints andcatheters | Reevaluate the use of restraints and bladder catheters daily | Drugs | Evaluate the use of sedatives (e.g. benzodiazepines or opiates) and medications with anticholinergic...