NURS294 Study Guide - Final Guide: Shortness Of Breath, Midazolam, Risperidone
29 Apr 2015
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Document Summary
Brain syndrome characterized by the acute onset of disordered attention and cognition, accompanied by disturbances of cognition, psychomotor behavior, and perception. Non pharm: reassure the family that the symptoms of delirium fluctuate and that the patient isn"t going insane , note and report hallucinations, encourage the family to be present for the patient in a calming manner (for example, giving repeated assurances and not arguing with the pt. , provide a calm, quiet and well lit environment, reorient the patient to time, place and person. Pharm: psychotropic drugs can prevent/decrease the sun downing effect, benzodiazepines can cause excitement in some patients, corticosteroids can help with brain metastases, haloperidol is the gold standard for delirium treatment (if it"s not effective, methotrimeprazine can be tried, other drugs commonly used to treat delirium are: chlorpromazine, risperidone, olanzapine, quetiapine fumarate, lorazepam, midazolam, methylphenidate, extrapyramidal side effects are common adverse effects of neuroleptics and can include: dystonia, akathesia and/or parkinson like signs and symptoms.
