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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

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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