Mimics dementia often the first sign of illness in the elderly an acute confusional state disturbed attention and lack of environmental awareness may involve visual illusions, hallucinations, and delusions etiology one theory is that delirium reflects neuronal dysfunction through excessive neu- rotransmitter release and abnormal signal conduction medications–prescription or over-the-counter otc –are the most common causes of delirium anticholinergic toxicity from prescribed medications diphenhydramine benadryl , tricyclic antidepressants tcas; amitriptyline elavil , imipramine tofranil , and antipsychotics chlorpromazine thorazine , thioridazine mellaril benzodiazepines or alcohol anti-inflammatory agents, including prednisone cardiovascular antihypertensives, digitalis diuretics, if dehydrated gastrointestinal cimetidine, ranitidine opioid analgesics especially meperidine lithium behavioral and psychological disorders in the elderly the using software is trial version.

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