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differential management neurology algorithm treatment delirium pathophysiology pharmacology checklist hepatology signs symptoms diplopia manifestations nutrition ophthalmology psychiatry table acute altered
Hypertension and Altered Mental Status (AMS) - Differential Diagnosis Framework Hypertension: • Hypertensive emergency • Hypertensive encephalopathy
- Differential Diagnosis ... • Hypertensive encephalopathy ... • Cushing’s syndrome ... NCSE • Delirium/agitation ... #causes
Pain, Agitation, and Delirium (PAD) in the ICU Addressing the ICU Triad (PAD) can be accomplished through
Propofol infusion syndrome ... it should not cause ... bradycardia • Ketamine ... #CriticalCare # ... diagnosis #management
Causes of Encephalopathy - Differential Diagnosis Algorithm Hyperacute: - Primary Neurologic: Vascular (IS, ICH), Seizure, Migraine, Trauma
Causes of Encephalopathy ... - Differential Diagnosis ... Vascular (IS, ICH ... paraneoplastic syndromes ... #Algorithm #Causes
Posterior Reversible Encephalopathy Syndrome (PRES) - Diagnosis Clinical Features: • Altered mental status (Either lethargy, confusion, or
Posterior Reversible Encephalopathy ... Syndrome (PRES) ... confusion, or agitation ... Posterior #Reversible #Encephalopathy ... #Syndrome #Diagnosis
Checklist for Treatment of Delirium in the ICU Remove causative factors - Exclude hypoglycemia if
Delirium in the ICU ... If Wernicke's encephalopathy ... treatment for hepatic encephalopathy ... severe nocturnal agitation ... #CriticalCare
Acute Altered Mental Status - Rapid Response Management 1) Ask while en route: vitals, hyper/hypoactive, POC glucose,
• Hyperactive (Agitation ... Hypoactive 3) Examine ... the underlying cause ... status #Management #criticalcare ... #encephalopathy
Post-Intensive Care Syndrome (PICS) Symptoms of PICS: - Physical Domain: Generalized weakness, Fatigue, Difficulty walking - Cognitive
Post-Intensive Care Syndrome ... IntensiveCare #Syndrome ... #PICS #diagnosis ... #management #criticalcare ... #icu
Checklist for Evaluation of New-Onset Delirium in the ICU Initial assessment - Vital signs, neuro exam
Delirium in the ICU ... if hypercapneic encephalopathy ... Evaluation #Workup #MICU ... #CriticalCare # ... Diagnosis
Selective Serotonin Reuptake Inhibitors: Mechanisms and Side Effects • Serotonin Syndrome: - Autonomic Hyperactivity:
• Serotonin Syndrome ... Cognitive Changes: Agitation ... SSRI Withdrawal Syndrome ... Dizziness - Nausea ... SideEffects #Psychiatry #Diagnosis
Hypotension - Rapid Response Management 1) Ask for vitals en route 2) Immediate Assessment 3) Examine for a cause:
Assessment 3) Examine ... for a cause: use ... Obstructive 4) Diagnosis ... Hypotension #Management #criticalcare
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