390 results
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 ... Pain #Anxiety #Delirium ... Management #Diagnosis #ICU
Valproic Acid in the ICU for Agitation and Delirium
Up to 70% of ICU patients experience agitation
Valproic Acid in the ICU ... Agitation and Delirium ... Up to 70% of ICU ... efficacy Proposed ICU ... outside of the ICU
Pain, Agitation, and Delirium (PAD) in the ICU
Addressing the ICU Triad (PAD) can be accomplished through
Agitation, and Delirium ... below) D - Delirium ... Propylene glycol (solvent ... preventing or treating delirium ... Pain #Agitation #Delirium
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 ... especially if* - Delirium ... #Checklist #Delirium ... Evaluation #Workup #MICU
Post-Intensive Care Syndrome (PICS)
Symptoms of PICS:
 - Physical Domain: Generalized weakness, Fatigue, Difficulty walking
 - Cognitive
RISK FACTORS - ICU ... analgesics - Delirium ... treatments - Delirium ... screening (CAM-ICU ... #criticalcare #icu
Inhaled Corticosteroid Inhaler Strengths
Beclomethasone	Qvar	100-200	>200400	>400
Budesonide	Pulmicort	200-400	>400-800	>800
Ciclesonide	Alvesco	80-160	>160-320	>320
Fluticasone furoate	Arnuity Ellipta	100	n/a	200
Fluticasone dipropionate	Flovent	100-250	>250-500	>500
Mometasone fuorate	Asmanex	110-220	>220-440	>440

Asthma maintenance inhalers should always include an inhaled corticosteroid
Fluticasone dipropionate Flovent ... corticosteroid (ICS ... overview of what ICS ... Corticosteroid #ICS
Intracranial Hemorrhage (ICH) and Increased Intracranial Pressure (ICP) - Pathophysiology
ICH Management:
1. Manage Blood Pressure
  •
Pathophysiology ICH ... • Spontaneous ICH ... blood volume and ICP ... if needed ICP ... High ICP: 20.
Delirium Overview

 • What is Delirium?
 • Types of Delirium
 • Common Causes
 • Reversible Causes
Delirium Overview ... • What is Delirium ... • Types of Delirium ... Drug-Induced Causes • Delirium ... Kfischer_10 #Delirium
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
DSM5 Diagnostic Criteria for Delirium #Diagnosis #IM #Delirium #DSM5 #NEJM
Diagnostic Criteria for Delirium ... Diagnosis #IM #Delirium