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

Hypertension:
 • Hypertensive emergency
 • Hypertensive encephalopathy
- Differential Diagnosis ... • Cushing’s syndrome ... Seizures/NCSE • Delirium ... /agitation • CNS ... Renal: • Acute
Pain, Agitation, and Delirium (PAD) in the ICU
Addressing the ICU Triad (PAD) can be accomplished through
Pain, Agitation, ... Propofol infusion syndrome ... bradycardia • Ketamine ... #ICU #CriticalCare ... #diagnosis #management
Checklist for Evaluation of New-Onset Delirium in the ICU

Initial assessment 
 - 
Vital signs, neuro exam
in the ICU Initial ... if hypercapneic encephalopathy ... Trauma - Acute ... #CriticalCare # ... Diagnosis
Approach to Possible Hypertensive Emergency

criteria required to diagnose hypertensive emergency
(1) Severe hypertension
 - Usually a MAP
Hypertensive Emergency criteria ... patients who have acute ... , such as: - Acute ... disturbance, seizure, delirium ... #Algorithm #CriticalCare
Acute Respiratory Distress Syndrome – ARDS: Clinical Cheat Sheet

An acute diffuse, inflammatory lung injury, leading to
Distress Syndrome ... Berlin criteria ... RespiratoryDistress #Syndrome ... Summary #CheatSheet #Diagnosis ... #Management #CriticalCare
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
Berlin Criteria for Acute Respiratory Distress Syndrome (ARDS) 
- Respiratory symptoms must have begun within one
Berlin Criteria ... for Acute Respiratory ... Distress Syndrome ... lobar collapse, lung ... #Diagnosis #CriticalCare
The Berlin Definition of Acute Respiratory Distress Syndrome (ARDS)

Chest imaging - Bilateral opacities—not fully explained by
Definition of Acute ... effusions, lobar/lung ... >= 5cm H2O #Diagnosis ... #CriticalCare # ... Berlin #Definition #Criteria