click below
click below
Normal Size Small Size show me how
Dementia/delirium
clinical neuro 3
Question | Answer |
---|---|
mental disorder affecting language, perception, and problem solving abilities | cognitive disorder |
drugs that induce amnesia | midazolam, flunitrazepam, rohypnol |
treatment for amnesia | treat the causative condition |
acute, transient fluctuating disturbances in attention & consciousness level | delirium |
drugs that induce delirium | alcohol, anti-emetics, anti-histamines, anti-cholinergic, psychoactive drugs, opioids |
withdrawl syndomes that include delirium | alcohol, barbiturates, opioids |
conditions that may induce delirium | encephalitis, meningitis, thiamin/B12 deficiency |
treatment for delirium | treat causative condition, maintain well lit, stable, quiet environment w/visual cues for pt orientation; drugs |
drug that decreases agitation & improve psychosis in delirium | haloperidol |
atypicals used to tx delirium | riperidone, olanzapine |
BZ used to tx delirium | lorazepam |
reason BZs aren't very effective against delirium | may exacerbate confusion, etc |
chronic global (usually irreversible) deterioration of cognition | dementia |
mitochondrial dysfunction | may be reason for excessive tau protein phosphorylation & accumulation of AB |
activation of microglia causes | release of pro-inflammatory cytokines, and further progression of AD |
types of drugs that treat AD | cholinesterase inhibitors, NSAIDs, statins, NMDA antagonist |
donepezil | ACHesterase inhib |
rivastigmine | ACHesterase inhib |
galantamine | ACHesterase inhib |
tacrine | ACHesterase inhib |
memantine | NMDA antagonist |
Ab treatment for AD | anti-amyloid |
focal deterioration of cognitive function often related to CV disease | vascular dementia |
treatment for vascular dementia | control BP, drugs to treat sx |