Altered Mental Status

Goals and Objectives

Goals

  • Resident will be comfortable with initial evaluation and basic management of patients with altered mental status

Objectives

  • Resident will be able to define and describe the differences between delirium, dementia and psychosis
  • Resident will be able to outline steps in the initial assessment to the patient with altered mental status
  • Resident will be able to produce a differential diagnosis for altered mental status
  • Resident will be able to list rapidly reversible causes of altered mental status and appropriate interventions for each diagnosis
    • Hypoglycemia –> Dextrose
    • Hypoxia –> Supplemental O2
    • Hypercarbia –> Assisted ventilation
    • Opioid intoxication –> Naloxone
    • Alcohol withdrawal –> Benzodiazepines
  • Resident will be able to describe common diagnostic studies used to determine the etiology of altered mental status
  • Resident will be able to describe basic treatments for each disease category included in the differential diagnosis of altered mental status
Page Author: Eric Shappell
Page Created: July 23, 2014
Peer Reviewer: James Ahn
Peer Review Date: July 26, 2014
Last Modified: July 12, 2017