19 results
Managing Pain, Anxiety and Delirium in the ICU

Nick Mark MD @nickmmark

#Pain #Anxiety #Delirium #CriticalCare #Comparison #Management
Delirium in the ICU ... Anxiety #Delirium #CriticalCare ... #Comparison #Management ... #Diagnosis #ICU
Serotonin Syndrome - THINK: FAST
 - FAST onset
 - FAST movements (agitation, akathisia, HYPERreflexia)
 - FAST
Serotonin Syndrome ... FAST movements (agitation ... Neuroleptic Malignant Syndrome ... #Diagnosis #Toxicology ... #Comparison #Differentiate
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
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
Hypertension and Altered Mental Status (AMS) - Differential Diagnosis Framework

Hypertension:
 • Hypertensive emergency
 • Hypertensive encephalopathy
- Differential Diagnosis ... • Hypertensive encephalopathy ... • Cushing’s syndrome ... NCSE • Delirium/agitation ... • Serotonin syndrome
When trying to differentiate between the two conditions think “FAST” with Serotonin Syndrome and “SLOW” with
with Serotonin Syndrome ... Serotonin Syndrome ... FAST movements (agitation ... resolution #Diagnosis ... NeurolepticMalignant #Comparison
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
Wernicke's Encephalopathy vs Korsakoff Syndrome - Thiamine Deficiency

Wernicke's encephalopathy is a neurological condition due to longstanding
Wernicke's Encephalopathy ... vs Korsakoff Syndrome ... is Korsakoff's syndrome ... #Korsakoff #Syndrome ... #diagnosis #comparison
Characteristics of Serotonin Syndrome and Other Hyperthermic Syndromes 
Serotonin Syndrome
 - SSRIs, second-generation antidepressants, MAOIs, linezolid,
Characteristics of Serotonin Syndrome ... Other Hyperthermic Syndromes ... Serotonin Syndrome ... diarrhea, mydriasis, agitation ... #Diagnosis #Comparison
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 ... #Differential #Diagnosis