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Managing Pain, Anxiety and Delirium in the ICU

Nick Mark MD @nickmmark

#Pain #Anxiety #Delirium #CriticalCare #Comparison #Management
Pain, Anxiety and Delirium ... in the ICU Nick ... #CriticalCare # ... Comparison #Management ... #Diagnosis #ICU
Checklist for Evaluation of New-Onset Delirium in the ICU

Initial assessment 
 - 
Vital signs, neuro exam
Evaluation of New-Onset Delirium ... in the ICU Initial ... /Mg/Phos - CBC ... with differential ... #CriticalCare #
Delirium in the ICU

Defining delirium
Types of delirium
Consequences of delirium
Reversible causes of delirium
Drug-induced delirium
Non-pharmacologic management of delirium
Pharmacologic
ICU Defining ... Non-pharmacologic management ... management of delirium ... theABofPharmaC #ICU ... #management #criticalcare
Post-Intensive Care Syndrome (PICS)
Symptoms of PICS:
 - Physical Domain: Generalized weakness, Fatigue, Difficulty walking
 - Cognitive
analgesics - Delirium ... treatments - Delirium ... PICS #diagnosis #management ... #criticalcare # ... icu
Pain, Agitation, and Delirium (PAD) in the ICU
Addressing the ICU Triad (PAD) can be accomplished through
Agitation, and Delirium ... below) D - Delirium ... Pain #Agitation #Delirium ... #PAD #ICU #CriticalCare ... #diagnosis #management
Checklist for Treatment of Delirium in the ICU 

Remove causative factors 
 - 
Exclude hypoglycemia if
for Treatment of Delirium ... in the ICU Remove ... #Delirium #Checklist ... #Management #Treatment ... #MICU #CriticalCare
Causes of COVIDー19 ICU delirium
Restricted Visitation
 • Family Disconnected
 • Sense of Isolation
 • Disorientation
 •
Causes of COVIDー19 ICU ... delirium Restricted ... disturbances #COVID19 #ICU ... #differential # ... coronavirus #diagnosis #criticalcare
Hyperacute Hypoxemia - Workup and Management
Differential Diagnosis: Aspiration, Flash Pulmonary Edema, Mucous Plugging, Bronchospasm, Pulmonary Embolism,
Hypoxemia - Workup and Management ... Differential Diagnosis ... STAT Labs (BMP, CBC ... Workup #diagnosis #Management ... #treatment #criticalcare
Sepsis - Diagnosis and Management
Life-threatening organ dysfunction caused by a dysregulated host response to infection
SEPTIC SHOCK
Diagnosis and Management ... WBC > 12 K or < ... likelihood of prolonged ICU ... #QSOFA #SIRS #criticalcare ... #icu
Admitting in the ICU - Checklist
VITALS: If bad, stop and go see the patient immediately; you
Admitting in the ICU ... esp in work-up/management ... : • For most ICU ... pts a CBC and CMP ... diagnosis #workup #criticalcare