Dementia after Surgery
Posted 29 June 2011 - 05:03 PM
Posted 01 July 2011 - 06:06 AM
After surgery we usually refer to the mental status issues as encephalopathy or confusion-- patients may have underlying dementia but usually it is the acute surgery causing issues.
The surgery, anesthesia, and antibiotics can all cause issues.
I generally get a urinalysis and chest X-ray and treat infection first.
Then I simplify PD meds to just sinemet at appropriate doses (remembering that lowering temporarily even it worsens PD often improves behavior)-- plus seroquel or clozaril if the med adjustments are not helpful.
I will often temporarily stop pain meds, dopamine agonists, amantadine and MAO-B inhibitors.
Having a neurologist on board is helpful and you may want to print this message for consideration.
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