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Hypertension and Altered Mental Status (AMS) - Differential Diagnosis Framework

Hypertension:
 • Hypertensive emergency
 • Hypertensive encephalopathy
- Differential Diagnosis ... • Cushing’s syndrome ... NCSE • Delirium/agitation ... Renal: • Acute ... #encephalopathy
Acute Altered Mental Status - Rapid Response Management

1) Ask while en route: vitals, hyper/hypoactive, POC glucose,
Acute Altered Mental ... • Hyperactive (Agitation ... Hypoactive 3) Examine ... status #Management #criticalcare ... #encephalopathy
Pain, Agitation, and Delirium (PAD) in the ICU
Addressing the ICU Triad (PAD) can be accomplished through
Pain, Agitation, ... Propofol infusion syndrome ... bradycardia • Ketamine ... #CriticalCare # ... diagnosis #management
Approach to Possible Hypertensive Emergency

criteria required to diagnose hypertensive emergency
(1) Severe hypertension
 - Usually a MAP
Hypertensive Emergency criteria ... patients who have acute ... : - Acute kidney ... - Hypertensive encephalopathy ... #Algorithm #CriticalCare
Checklist for Evaluation of New-Onset Delirium in the ICU

Initial assessment 
 - 
Vital signs, neuro exam
Delirium in the ICU ... if hypercapneic encephalopathy ... Trauma - Acute ... #CriticalCare # ... Diagnosis
Berlin Criteria for Acute Respiratory Distress Syndrome (ARDS) 
- Respiratory symptoms must have begun within one
Berlin Criteria ... for Acute Respiratory ... Distress Syndrome ... must be present, as ... #Diagnosis #CriticalCare
Acute Respiratory Distress Syndrome – ARDS: Clinical Cheat Sheet

An acute diffuse, inflammatory lung injury, leading to
Distress Syndrome ... Berlin criteria ... clear cause such as ... Summary #CheatSheet #Diagnosis ... #Management #CriticalCare
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
important to recognize Acute ... Cardiac cath if acute ... coronary syndrome ... heartfailure #chf #criticalcare ... #icu #clinical