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hypoactive delirium
Etiology:
- uncontrolled pain
- pharmaceuticals
- parasympatholytics
Epidemiology:
- postoperative common, especially after nerve block wears off
- accounts for ~50% of delirium cases
Clinical manifestations:
- features of delirium & depression
- hypersomnia & inattention
Differential diagnosis:
- depression vs hypoactive delirium [1]
- depression must be present for at least 2 weeks
Management:
- treatment pain
- non-pharmacologic manamgement of delirium
- antipsychotics not indicated in the absence of agitated delirium with patient presenting risk to themselves or others
General
delirium (acute confusional state)
References
- Geriatric Review Syllabus, 10th edition (GRS10)
Harper GM, Lyons WL, Potter JF (eds)
American Geriatrics Society, 2019
- Geriatric Review Syllabus, 11th edition (GRS11)
Harper GM, Lyons WL, Potter JF (eds)
American Geriatrics Society, 2022