Reversible causes of delirium

Purpose of this sheet: essential geriatrics landmarks a nurse or licensed practical nurse in Quebec should keep in mind for clinical practice and for succeeding on the OIIQ or OIIAQ entry exam. Exam relevance: In geriatrics, the OIIQ assesses the ability to screen for functional decline, prevent falls, and distinguish delirium, dementia, and depression. — Clinical landmarks — Infection, urinary or respiratory most often Dehydration and electrolyte disturbance Pain, undertreated or unrecognized Constipation and fecal impaction Urinary retention Medication: benzodiazepines, anticholinergics, opioids, corticosteroids, and any recent change Hypoxia, hypoglycemia Sensory deprivation: missing glasses or hearing aids Sleep disruption and environmental change Search the list before reaching for sedation. Sedating a delirium worsens it. — Remember — Use this sheet in spaced repetition, pair it with a matching clinical scenario on NursEduc, and always compare values to the person's baseline before drawing conclusions. Keywords: geriatrics, older adult, elderly, delirium, fall prevention, OIIQ exam, OIIQ exam prep, OIIAQ exam prep, nurse in Quebec, NursEduc.

Clinical content reviewed by Ducamelle Louis, Registered Nurse