NEUROLOGY + NEUROSURGERY
DELIRIUM VS DEMENTIA
PromptFeatures suggestive of delirium (over dementia)
ResponseAcute onset
Fluctuating conscious state
History of fever/infective symptoms
Recent medication changes
Recent head trauma
Fluctuating conscious state
History of fever/infective symptoms
Recent medication changes
Recent head trauma
PromptMedications for agitation management and their adverse effects
ResponseIV midazolam 1-2mg - resp depression, hypotension
IV droperidol 2.5mg/haloperidol 1-2mg - EPSE, hypotension, long QT
IV olanzapine 2.5mg - orthostatic hypotension, EPSE
PO risperidone 1-2mg - orthostatic hypotension, EPSE
IV droperidol 2.5mg/haloperidol 1-2mg - EPSE, hypotension, long QT
IV olanzapine 2.5mg - orthostatic hypotension, EPSE
PO risperidone 1-2mg - orthostatic hypotension, EPSE