Dementia/ Delirium
Decribe Delirium and symptoms
.
acute, hallucinations, impaired attention, disorientation, mood swings, memory deficit
Positive Symptoms
Bizzare behavior, Hallucinations, Delusions, Disorganized speech
AIMS
Movement disorder assessment
Thiamine deficiency, short term memory loss, unequal pupil size
Wernicke Encephalophy IV thiamine bid-tid x 2 weeks
Korsakoff chronic
Repetition
Bully
Monitor food and fluid intake, assess for falls, provide emotional support, low stimulating environment
pg 442- Interventions for Dementia mtg
Erotomanic, Nihilstic, Referential
Delusions
Dystonic reactions and treatment
Painful contractions, spasms of neck and back
Tx IM Benadryor cogentin
Opioid withdrawl
elevated temp, pulse and b/p, n/v, muscle aches, insomnia, dilated pupils, increase resp.yawning
Placing someone in restraints require
Safety concern danger self or other, doctor order, 2 hours children, 4 hours adults. Document behavior, vitals, tolietries, readiness for release, comfort measures. 1:1 monitoring
Medications for dementia
Aricept (donepezil), Exelon take with food
Impaired information processing
Cognitive symptom
restlessness, rocking, inabilty to sit still
Akathisia , medication cogentin
elevated b/p/temp/insomnia/tactile and visual hallucinations
Alcohol withdrawl
Types of abuse
Physical, Sexual,Emotional,Economic and Neglect
Nurse intervention for medication refusal
Identify reason for refusal
Metabolic syndome associated with
2nd generation medication
NMS
Elevated temp , hypertension, rapid pulse muscle rigidity, dysphasia, posturing, sweating
Hepatic and Renal Function monitored prior to and while compliant with which medications for bi-polar disorders
Depakote LFT
Lithium Renal function
Traits of abused children
Younger than 3 years, perceived as different, product of an unwanted pregnancy, limited emotional bonding between parent and child
Identify Dementia stages and behavior
Mild(independant ADL), moderate severe
Pt. teaching for psychotropic medications
dizzy when standing, refrain from driving until understand effects of medication, dont drink
ANC less than 500
Neurtropenia / Clozaril therapy
Identify interventions for
ETOH
Opiod use/ withdrawl
Cocaine use/ withdrawl
Monitor for DT's, Cage, phenobarital
MAT supportive measures CAGE
Role of nurse if IPV is identified
Ohio requirment for reporting suspected abuse. emotional support for vicitms, never blame victim , educate and refer for counseling