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  • Delirium And Dementia
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Identify the main difference between delirium and dementia. CORRECT ANSWER Delirium- develops quickly, change in consciousness, direct physiological consequence of a medical condition, change in cognition not accounted for Dementia- slow progression, consciousness may not be affected, progressive cognitive decline Risk Factors for Delirium (6) CORRECT ANSWER Hospitalization Advanced age ( 70) Pre-existing psychological conditions Advanced life-threatening illness Comorbidities Poor nutrition Neurotransmittors affected in delirium CORRECT ANSWER Acetylcholine (especially), NE, 5HT, somatostatin Clinical Presentation of a patient with delirium CORRECT ANSWER Altered reality (Hallucinations, delusions) Agitation or Restlessness Movement may or may not be purposeful Self-harm Hyperactive, hypoactive, or mixed

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