Review Note
Last Update: 06/05/2024 12:55 AM
Current Deck: SLS Cards::8. Acute renal failure/ electrolyte disorders
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What is the differential for delerium?
Back
DIMSPLUS5
- Drugs
- Intoxication/ overdose
- Withdrawal
- Deleriogenic s/e (EtOH, cannabinoids, other recreational drugs, sedatives, benzos, anesthetics, anticholinergics/ antihistamines, antidepressants, antipsychotics, anticonvulsants, narcots, steroids, dopaminergics, digoxin, lithium, drugs with heavy metals or toxins)
- Infections
- Respiratory
- UTI
- Cellulitis
- Bacteremia
- Metabolic disturbances
- Hypoxia
- Hypercarbia
- Hyperglycemia
- Hematologic (anemia, hypereosinophilia)
- Electrolyte derrangement (Na, Ca, Mg, PO4)
- Acid-base
- Rental failure/ AKI
- Hepatic failure
- Thyroid
- Pituitary
- Structural
- Neurological (stroke, encephalitis/ encephalopathy, intracranial hemorhage, tumor, head injury, seizure/nonconvulsive status epilepticus)
- Cardiompulmonary (shock, hypertensive crisis, resp failure, ACS, arrhythmia, CHF, PE)
- Pain
- Liquids and solids
- Dehydration
- Malnutrition (macro- or micronutrient)
- Urine and bowels (urinary retention, constipation)
- Senses
- Uncorrected vision
- Hearing impairment
- Communication deficit
- Sleep (lack of)
- Setting
- Disruptive or unfmailiar environment
- Lack of orientation devices
- Absence of natural day-night cues
- Social isolation
- Lack of family presence
- Stasis
- Restraints and immobilizing equipment (IV lines, indwelling catheters, tubes, drains)
- Deconditioning
- Stress
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