Journal CME - 2016 December
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Journal CME - 2016 December

Journal CME - 2016 December


A 77-year-old man is admitted to the hospital after sustaining a hip fracture. He has a medical history of chronic obstructive pulmonary disease, hypertension, hyperlipidemia, chronic back pain, and hearing loss. Before surgery, he receives midazolam for agitation and morphine for pain control. He undergoes a general anesthetic for his fracture repair, requiring high doses of fentanyl for pain control. Postoperatively, he has poor pulmonary mechanics and is taken to the intensive care unit (ICU) intubated and mechanically ventilated. On postoperative day 1, his sedation is weaned and he is put on a spontaneous breathing trial. While he appears intermittently awake, he will not follow commands and only intermittently makes eye contact. The patient is left intubated due to his altered mental status.

CME Credit: 1.00 AMA PRA Category 1 Credit™

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Learning Objectives:
After successfully completing this activity, the learner will be able to do the following:

  1. Describe characteristic elements and methods of diagnosing delirium
  2. Recognize the incidence of and risk factors for developing delirium 
  3. Predict the possible outcome of delirium...
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