Recognition
This is a sudden change in mental status that develops over hours to days
What is delirium?
One of the most common causes of delirium is ICU patients.
What is infection?
A patient is restless and pulling at lines. First assumption should NOT always be delirium but this.
What is pain?
The RASS score means alert and calm.
What is 0?
Feature 1 or CAM-ICU.
What is acute change or fluctuating mental status?
A patient is quiet, sleeping most of the day, and not initiating conversation, but still responds when stimulated.
What is hypoactive delirium?
This device, while necessary for monitoring output, increases delirium risk and should be removed ASAP.
What is a Foley catheter?
This tool is used to assess pain in nonverbal ICU patients.
What is CPOT?
This RASS score indicates agitation.
What is +2?
This CAM-ICU feature is best tested by asking the patient to focus or follow simple commands.
What is inattention?
A patient is agitated, trying to remove oxygen, and yelling at staff.
What is hyperactive delirium?
A patient has hearing aids at home but is not wearing them in the hospital. This increases delirium risk because of this issue.
What is sensory deprivation (or impaired sensory input)?
A CPOT score of 6-8 usually indicates this.
What is significant pain?
At this RASS level, you CANNOT reliably perform CAM-ICU.
What is -4 or -5?
What is either altered level of consciousness OR disorganized thinking?
A patient alternates between sleeping all day and sudden agitation overnight.
What is mixed delirium?
This medication class is strongly linked to delirium.
What are benzodiazepines?
A patient is restless, CPOT is 7, and RASS +2. This needs to be treated FIRST.
What is pain?
A patient is trying to climb out of bed and is combative. This RASS score is likely.
What is +2 or +3?
A patient is awake, follows commands, but cannot stay focus on questions. CAM-ICU result
What is Positive?
The MOST dangerous type of delirium because it is often not recognized early.
What is hypoactive delirium?
Name three delirium risk factors.
What is infection, pain, sleep deprivation, hypoxia, immobility, restraints?
True or False: You can correctly interpret CAM-ICU without assessing pain first.
False
Why is RASS assessed before CAM-ICU in ICU patients.
To determine level of arousal and whether delirium assessment is valid.
The reason CAM-ICU cannot be completed in a deeply sedated patient.
What is inability to assess attention or cognition due to low arousal?