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Managing Pain, Anxiety and Delirium in the ICU

Nick Mark MD @nickmmark

#Pain #Anxiety #Delirium #CriticalCare #Comparison #Management
and Delirium in ... the ICU Nick ... #CriticalCare # ... Comparison #Management ... #Diagnosis #ICU
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
management of delirium ... management of delirium ... #Delirium #pharmacology ... #management #criticalcare ... #diagnosis
Pain, Agitation, and Delirium (PAD) in the ICU
Addressing the ICU Triad (PAD) can be accomplished through
Pain, Agitation, ... No pharmacologic ... (Haldol) - No pharmacologic ... #PAD #ICU #CriticalCare ... #diagnosis #management
Post-Intensive Care Syndrome (PICS)
Symptoms of PICS:
 - Physical Domain: Generalized weakness, Fatigue, Difficulty walking
 - Cognitive
analgesics - Delirium ... treatments - Delirium ... ) - Pain assessment ... Syndrome #PICS #diagnosis ... #management #criticalcare
Checklist for Treatment of Delirium in the ICU 

Remove causative factors 
 - 
Exclude hypoglycemia if
if uncontrolled pain ... - Earplugs & eye ... sleeping, administer pharmacologic ... #Management #Treatment ... #MICU #CriticalCare
Vasopressors and Inotropes
 • Norepinephrine - Levophed - "Levo" - Generally thought of as the first
Vasopressors and Inotropes ... common in OR; in MICU ... #management #criticalcare ... summary #comparison #table ... #pharmacology #
Primary and Secondary Headaches - Red Flags and Differential Diagnosis
Red Flags (SNOOP):
S - Systemic		
N - Neurologic
and Differential Diagnosis ... /Temple • Pain ... quickly, deep pain ... Hypoglycemia Anatomy ... primary #secondary #management
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
patients need inotrope ... #algorithm #management ... cardiology #treatment #table ... #icu #clinical ... #pharmacology