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Medical Forum / General / General / January 2004FIL psychosis
My FIL has been on a respirator for a while now. He doesn't know me at times and does strange things like ask to see his dead wife and stretching his arms out as if he is reaching for something. The doctor called it psychosis and said that it was related to the respirator and lack of oxygen that he had received (brain damage). He was normal prior to going on the respirator but has had chronic lung problems his entire adult life. Has anyone heard of this condition? > My FIL has been on a respirator for a while now. He doesn't know me > at times and does strange things like ask to see his dead wife and [quoted text clipped - 3 lines] > was normal prior to going on the respirator but has had chronic lung > problems his entire adult life. Has anyone heard of this condition? Is he at home or nursing home? Is he being given medications? http://www.hypertension-consult.com/Secure/textbookarticles/Textbook/98_toxocolo gical.htm Hypoxia-induced cerebral edema produces hyperventilation in an attempt J : My FIL has been on a respirator for a while now. He doesn't know me : at times and does strange things like ask to see his dead wife and [quoted text clipped - 3 lines] : was normal prior to going on the respirator but has had chronic lung : problems his entire adult life. Has anyone heard of this condition? "ICU psychosis", as it is known, is well documented. http://www.medicinenet.com/ICU_Psychosis/article.htm Emma > : My FIL has been on a respirator for a while now. He doesn't know me > : at times and does strange things like ask to see his dead wife and [quoted text clipped - 7 lines] > > http://www.medicinenet.com/ICU_Psychosis/article.htm Emma, When they teach about ICU psychosis do they also mention that the poster's description exactly matches a person dying? Just wondering because we've gotten those exact descriptions on the cancer newsgroup from loved ones (after the deaths) and at www.crossingthecreek.com I don't know what they're teaching but I think all doctors should have to spend some time in palliative care. And the guy on the url above who had infection (fever) and pain and woke up in a strange environment, that's not ICU psychosis. I also note that the above url is missing a number of other possible causes. J It could also be loss of DHEA, which will, if low enough, result in death. >> : My FIL has been on a respirator for a while now. He doesn't know me >> : at times and does strange things like ask to see his dead wife and [quoted text clipped - 20 lines] >above url is missing a number of other possible causes. >J : Emma, : When they teach about ICU psychosis do they also mention that the poster's : description exactly matches a person dying? It's an expression. Generally people who are in the ICU are at "death's door". It's easy to see that this also extrapolates to those dying of cancer (or Y or Z). It's a generalizable term. If you look at the acronym below, CANCER would come under "C" for CNS Pathology. Cheers, Emma For further interest--> The Confusion Assessment Method (CAM) Tools (for confusion/delirium) measurement: 1. Acute Onset 2. Inattention 3. Disorganized Thinking 4. Altered LOC 5. Disorientation 6. Memory Impairment (Short term) 7. Perceptual Disturbances 8. Psychomotor Agitation / Psychomotor Retardation (may alternate also) 9. Altered Sleep/Wake Cycle The acronym for differential diagnosis of Delirium is "I WATCH DEATH". It stands for: I Infections (UTIs, pneumonia, encephalitis, etc) W Withdrawal (ETH, benzoz, sedatives) A Acute metabolic (Lyte disturbances, dehydration, acid/base, hepatic/renal) T Toxins, drugs (opiates, salicylates, indomethacin, ligocaine, dilantin, steroids)** C CNS pathology (stroke, TIA, seizures, hemorrhage, infection, tumours) H Hypoxia (anemia, lung/heart failure, hypotension) D Deficiencies (Thiamine in ETH abuse, B12) E Endocrine (Thyroid, hypo/hyperglycemia, adrenal dysfunction, hyperparathyroidism) A Acute Vascular (shock, hypertensive encephalopathy) T Trauma (head injury, post-operative, hypo/hyperthermia) H Heavy metals (lead, mercury, manganese poisoning) **other drugs, antiparkonsoniams, cimetidine, psychotropics, amphetamines, theophylline, etc. Reference: Delirium, by MG Wise. In The American Psychiatric Press "Textbook ofNeuropsychiatry", 1986, pp 89-103. Eds (RE Hales and SC Yudofsky). Cheers, Emma >My FIL has been on a respirator for a while now. He doesn't know me >at times and does strange things like ask to see his dead wife and [quoted text clipped - 3 lines] >was normal prior to going on the respirator but has had chronic lung >problems his entire adult life. Has anyone heard of this condition? Yes, it's common. When the brain is deprived of oxygen - even for just a few minutes - brain cells begin to die. The result is what you're seeing now. How well he recovers - and if he recovers - will depend on many things, but mainly it will depend on the extent of brain damage, which in turn mainly depends on how long his brain went without oxygen. What happened? Why was he put on a ventilator in the first place? Thank you all so much for your replies. I am not sure about the specifics of his treatment etc. He is in Florida and I am in NJ. I was relating to you what my wife who is there told me about his condition. Dad passed away peacefully this morning. >Thank you all so much for your replies. I am not sure about the >specifics of his treatment etc. He is in Florida and I am in NJ. I >was relating to you what my wife who is there told me about his >condition. Dad passed away peacefully this morning. Sorry.... > Thank you all so much for your replies. I am not sure about the > specifics of his treatment etc. He is in Florida and I am in NJ. I > was relating to you what my wife who is there told me about his > condition. Dad passed away peacefully this morning. BOXMAN DID THE OLD MAN LEAVE YOU LOTS OF $$$$$$$ |
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