NR 601 Final combined Exam Solved 100% Solved

NR 601 Final combined Exam Solved 100% Solved _________ is an acute onset of memory deficit, disorientation, attention issues with fluctuation in status based on situation and IS reversible - ANSdelirium __________ is insidious in onset with progressive decline in cognition - ANSdementia What is the Mini-Cog? - ANSa routine screening tool that test pt's executive function, ability to plan, manage time, organize activities, manage working memory what are the parts of the mini cog - ANS3 word recall and draw a clock what are the total points of the mini cog test and what does the score mean - ANSout of 5 ; less than 4 - screen further, les than 3 - suspicious for dementia symptoms in delirium (11) - ANSacute mental change fluctuating attention issue memory issue orientation issue perceptual issues though issue sleep issue consciousness issue speech issue psychomotor issue potential contributing factors to delirium development - ANSmedications, alcohol, infxn, hypoxia, surgery, sleep disturbances what particular medication class is strongly associated with delirium in older adults - ANSanticholinergics why are antihistamines like benadryl and hydroxyzine not recommended for older adults - ANSanticholinergic activity - promotes delirium labs that should be checked in patient with delirium (7) - ANSUA Creatinine sodium potassium calcium glucose CBC sedative agent considered okay to use in patient with delirium while being treated - ANShaloperidol (or ativan if alcohol related) opiates to avoid in older adults due to delirium concerns - ANStramadol meperidine / demerol codeine sleep aid safe for older adults (less concern for delirium) - ANStrazadone what are the biomarkers associated with neurocognitive disorder (5) - ANSamyloid beta 42 phosphorylated / total tau APOE4 Brain derived neurotrophic fa