Clinic, HOSPITAL MEDICINE, Pharmacy and Therapeutics
Five neurotransmitter receptor sites are known to be involved in the physiology of nausea and vomiting (control the vomiting reflex). Several classes of antiemetic drugs are available that antagonize these neurotransmitter receptors. These antiemetic drugs are...
Clinic, HOSPITAL MEDICINE
Indications for CT without Contrast Common indications for CT without contrast include: Suspected stroke within the first 3 hours of symptom onset; closed head injury; diffuse lung disease; chronic dyspnea; soft-tissue swelling, infection, or trauma of the...
GERIATRICS, HOSPITAL MEDICINE, PSYCHIATRY
Confusion assessment method (CAM) for the diagnosis of delirium The diagnosis of delirium requires the presence of features 1 AND 2 plus either 3 OR 4. Feature Assessment 1. Acute onset and fluctuating course Usually obtained from a family member or nurse and shown by...
HealthCare, HOSPITAL MEDICINE, MNEMONICS, PSYCHIATRY
Mnemonic: CONSCIOUS. You can use the 9 features that distinguish delirium from dementia and other similar conditions to help you diagnose delirium. This is a rough version of the validated short CAM that follows the mnemonic, confusion. Feature of Delirium Evaluating...
GERIATRICS, HOSPITAL MEDICINE, Pharmacy and Therapeutics
Basically using the newer antipsychotics. Olanzapine (Zyprexa) Comes as: PO tablets, Rapid disintegrating tablets, IM Starting: 2.5 mg PO QD Daily: 5-10 mg/day Risperidone (Risperdal) PO tabs and syrup, Rapidly disintegrating tablet (for those who can ’t swallow)...
GERIATRICS, HOSPITAL MEDICINE, MNEMONICS
How do you distinguish between delirium and dementia? Mnemonic: CONSCIOUS Delirium Dementia Consciousness Altered level of consciousness (ALOC). Either decreased (“Clouded” ) or hyper alert Alert (normal) -i.e. not altered. Onset Acute or sub-acute...
