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Acute behavioural disturbance and positional/ restraint asphyxia
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Acute behavioural disturbance can occur in the context of?
psychiatric illness- typically psychosis
physical illness- typically in confusion/ delirium
substance misuse- typically alcohol withdrawal
what is the definition of acute behavioural disturbance?
rare form of severe mania
sometimes considered part of the spectrum of manic depressive psychosis and chronic schizophernia
what are the causes of acute behavioural disturbance?
psychiatric illness
drugs (particularly cocaine)
alcohol
combination of these
what are the risk of acute behavioural disturbance?
rapid deterioration and death due to cardiac arrest from drug induced arrhythmias
greater risk of positional asphyxia, especially in obese patients
may be exacerbated by exhaustion- following a struggle
what conditions has acute behavioural disturbance been linked with?
head injury
brain tumours
delirium/ high temperatures
epileptic post ictal states
heat exhaustion
hypo/ hyperglycaemia
thyroid disease
drugs... anti psychotic/ cocaine
what are the S and S of Acute behavioural disturbance?
bizarre and/ or aggressive behaviour
impaired thinking
disorientation
hallucinations
onset of paranoia
agitation
excitability
paranoia
aggression
non pain compliant
great strength
sudden collapse
may ultimately result in death
removal of clothing
how do you manage someone with acute behavioural disturbance?
police required
do not put yourself at risk
monitor patient for deterioration
consider position of patient when restrained
what position should someone be in when they are restrained?
sitting or kneeling
lying on side
NOT FACE DOWN
acute behavioural disturbance is linked to positional asphyxia. true or false
True
False
True
what is acute behavioural disturbance often referred as?
excited delirium
what behaviour does a patient with acute behavioural disturbance exhibit?
bizarre and manic behaviour
when does positional/ restraint asphyxia occurs?
when the position of the body interferes with respiration, resulting in asphyxia
what may the pt not be able to do?
alter their position due to restraint
what are the risk factors for positional/ restraint asphyxia?
pt position resulting in partial or complete airway obstruction
patient left face down, prone, position
pressure applied restricting the shoulder girdle or accessory muscles whilst laid down
what are the factors that increase the risk of positional/ restraint asphyxia?
drugs/ alcohol intoxication
physical exhaustion
mental illness
obesity
Author
davidgoddard93
ID
347024
Card Set
Acute behavioural disturbance and positional/ restraint asphyxia
Description
Acute behavioural disturbance and positional/ restraint asphyxia
Updated
2019-05-16T18:47:59Z
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