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DELIRIUM A significant ICU problem!

DELIRIUM A significant ICU problem!. What is it? An acute change in consciousness that is accompanied by inattention and either a change in cognition or perceptual disturbance. May be hypoactive or hyperactive in nature.

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DELIRIUM A significant ICU problem!

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  1. DELIRIUMA significant ICU problem! What is it? An acute change in consciousness that is accompanied by inattention and either a change in cognition or perceptual disturbance. May be hypoactive or hyperactive in nature. Who’s at Highest Risk?Patients with pre-existing dementia; history of hypertension; alcoholism; and increased severity of illness. Causes of Delirium: T–Toxic situations (CHF, shock, dehydration, deliriogenic meds, new organ failure) H–Hypoxemia I –Infection/sepsis; immobilization N–Nonpharmacologic interventions being neglected (hearing aids, glasses, uninterrupted sleep, music, noise control, ambulation) K–K+ or electrolyte problems What can we do to Help? A –Awakening B –Breathing trials (spontaneous breathing trials daily) C –Choice of Sedation (decrease BZP use; use alternate sedation) D –Delirium Detection (screening qshift using ICDSC; review of medications) E –Early Progressive Mobility and Exercise

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