Delirium Vocabulary

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Across
  1. 2. Hallmark cognitive function impaired in delirium
  2. 3. Imaging for smaller or posterior fossa lesions related to altered mental status
  3. 5. Catheterization of this body part increases delirium risk through discomfort or infection
  4. 7. An acronym. Once altered, patient may be drowsy or unresponsive
  5. 10. Cycle of rest and activity often disrupted in delirium (“sundowning”)
  6. 12. Acronym, Puncture Diagnostic test for infection or inflammation (encephalitis, meningitis)
  7. 13. Blood salts like Na, K, Ca, Mg, Phos; small changes can cause delirium
  8. 18. An Acronym, Tool that grades arousal from +4 (combative) to –5 (unarousable)
  9. 19. General term for global brain dysfunction or impaired brain activity
  10. 23. The range between hyperactive and hypoactive delirium subtype
  11. 24. Overload of this means environmental overstimulation (ICU noise, lights) that worsens delirium
  12. 27. Brain region (anteromedial) implicated in delirium’s final common pathway
  13. 29. False belief not based in reality, may occur with delirium
  14. 32. This kind of objects include family photos or belongings that aid reorientation and comfort
  15. 34. Imaging test to detect structural brain cause of delirium
  16. 36. Hospital practice that physically limiting patient’s movement and increases delirium risk
  17. 37. Brain-wave test; detects seizures which can mimic delirium
  18. 41. Sensory perception without external stimulus, common in delirium
  19. 42. Sudden or rapid onset (key distinguishing feature of delirium)
  20. 43. Acute onset of brain dysfunction causing fluctuating attention, disorganized thinking, and altered consciousness
  21. 44. Long stay duration in this unit can be a common delirium etiology of in elderly patient
  22. 46. Ensuring adequate fluids; dehydration is delirium risk factor
  23. 47. Long-term complications and disability from delirium
  24. 49. Deficit of this Neurotransmitter is the key to delirium pathophysiology
  25. 50. An element of confusion assessment, Core symptom of delirium; patient cannot maintain focus
Down
  1. 1. Increased risk of death associated with untreated delirium
  2. 3. Early implementation of this PT therapy decreases delirium and ICU stay
  3. 4. Common 1st line Medication class used cautiously for severe agitation in delirium
  4. 6. Chronic progressive cognitive decline, gradual onset (contrast to delirium)
  5. 8. Disturbance of this can cause brain dysfunction (e.g., Na 130)
  6. 9. Alteration of this means the presentation ranges from alert to comatose; part of delirium’s diagnostic criteria
  7. 11. Promoting hygiene of this by reducing light/noise to restore circadian rhythm
  8. 14. Impairment of this auditory sensation increase risk of delirium
  9. 15. Subtype of delirium with agitation or restlessness, e.g., alcohol withdrawal
  10. 16. Drug that can worsen delirium except in alcohol or sedative withdrawal
  11. 17. An Acronym, Bedside tool with 4 features: acute onset, inattention, disorganized thinking, altered LOC
  12. 20. A modified version of this test to evaluate Content of Consciousness especially for intensive care patients
  13. 21. Subtype of delirium with low activity or withdrawal, often missed
  14. 22. Key property that means delirium often improves with treatment of cause
  15. 25. Sedative preferred for ICU delirium due to minimal respiratory depression
  16. 26. low reserve of this function increases delirium risk (“stress test for brain”)
  17. 28. Worsening of confusion and agitation in evening or night
  18. 30. Short-acting sedative allowing frequent neuro checks
  19. 31. Medication class most commonly triggering delirium (e.g., diphenhydramine)
  20. 32. Describes delirium’s variable course, symptoms changing hour-to-hour
  21. 33. Lack of orientation cues and social contact, worsens delirium
  22. 35. Acronym, a test to identifies oxygen or CO₂ imbalance contributing to delirium
  23. 38. Control of this must be balanced; Analgesics can worsen delirium
  24. 39. Common reversible cause of delirium, especially systemic infections
  25. 40. Frequent reminders of time, place, situation to reduce confusion
  26. 45. Disorganized of this means fragmented or illogical thought process seen in delirium
  27. 48. Blood test (complete blood count) used to find infection or anemia causing delirium