Dementia

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Author:
wiscflor
ID:
12069
Filename:
Dementia
Updated:
2010-03-26 15:20:50
Tags:
MS2 Exam 3
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DDD
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  1. What are the two main precipitating factors that cause delirium?
    • Infection
    • Medication
  2. What is the difference between delirium and dementia?
    Delirium - clear onset, acute

    Dementia - progressive onset, not noticeable of when it occurs
  3. Ways to treat delirium
    • Detect it early
    • Review medication
    • Evaluate for infection
  4. How will the nurse care for a patient with delirium?
    • Treat underlying cause
    • Calm environment
    • Avoid restraints
    • Limit sedatives
  5. Dementia
    Normal part of aging?
    Most common etiology?
    NO!

    Alzheimer's Disease
  6. D.E.M.E.N.T.I.A

    Make sure the patient doesn't have any problems with:
    • Drug and Alcohol
    • Eyes and Ears
    • Metabolic/Endocrine Disorders
    • Emotional Disorders
    • Neurologic Disorders
    • Tumors or Trauma
    • Infection
    • Arteriovascular Disease
  7. Vascular Dementia:
    Risk factors?
    Treatment?
    HTN, smoking, diabetes

    • SSRI and Psychotherapy
    • (same treatment as geriatric depression)
  8. What type of dementia is this?

    Loss of short-term memory
    Decreased learning
    Loss of judgment

    "I know but you don't"
    Early Dementia

    (Pt. knows something is wrong but is not noticed by others)
  9. What type of dementia is this?

    Profound memory loss
    Confused
    Word finding difficulty
    Wandering

    "We both know it"
    Middle Dementia
  10. What type of dementia is this?

    Dependent on ADL
    Non-verbal
    Immobile
    Weight loss

    "You know but I don't"
    Late Dementia
  11. What two main drugs treat dementia?
    • Cholinesterase inhibitors
    • Memantine (Namenda)

    (Not cures, just delays the disease)
  12. Cholinesterase inhibitors:
    For what types of dementia?
    What drugs?
    S/S?
    Mild to moderate

    • Donepezil (Aricept)
    • Rivastigmine (Exelon)
    • Galantamine (Razadyne)

    • GI upset
    • Bradycardia
    • Syncope
  13. Memantine (Namenda):
    For what types of dementia?
    MOA?
    S/S?
    Mild, Moderate, Severe

    Suppresses glutamate

    Sedation
  14. What kind of drugs should be used as a last resort and in the lowest possible dose for agitated and aggressive dementia patients?
    Atypical Antipsychotics:

    • Risperidone (Risperdal)
    • Olanzapine (Zyprexa)
  15. Rosemary an 80y/o female presents to the ER for a change in mental status. What is your priority nursing action?

    A) Do a complete neurological exam
    B) Take a medication history
    C) Restrain the patient to prevent injury
    D) Check vital signs, pulse ox and accu-check
    D) Check vital signs, pulse ox and accu-check

    B-1st
    C-2nd
    A-3rd
    D -Never
    (this multiple choice question has been scrambled)
  16. Which of the following is NOT true of depression in the elderly?

    A) The may present with physical complaints
    B) They often deny being depressed
    C) They are not high risk for suicide
    D) They may present with weight loss
    C) They are not high risk for suicide
    (this multiple choice question has been scrambled)

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