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

Hypertension:
 • Hypertensive emergency
 • Hypertensive encephalopathy
Hypertension and Altered ... - Differential Diagnosis ... • Cushing’s syndrome ... Seizures/NCSE • Delirium ... /agitation • CNS
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
Posterior Reversible Encephalopathy Syndrome (PRES) - Diagnosis
Clinical Features:
 • Altered mental status (Either lethargy, confusion, or
Posterior Reversible Encephalopathy ... Syndrome (PRES) ... Features: • Altered ... confusion, or agitation ... #Syndrome #Diagnosis
Clinical Manifestations of Serotonin Syndrome
 • Ophthalmologic: Mydriasis, Ocular clonus (slow horizontal movements)
 • Gastrointestinal: Diarrhea,
Manifestations of Serotonin Syndrome ... flushing • CNS: Agitation ... , Delirium, Rigidity ... Life-Threatening): Akathisia, Altered ... spectrum #signs #diagnosis
Checklist for Treatment of Delirium in the ICU 

Remove causative factors 
 - 
Exclude hypoglycemia if
for Treatment of Delirium ... in the ICU Remove ... severe nocturnal agitation ... #Delirium #Checklist ... #CriticalCare
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 ... if hypercapneic encephalopathy ... #CriticalCare # ... Diagnosis
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
Post-Intensive Care Syndrome (PICS)
Symptoms of PICS:
 - Physical Domain: Generalized weakness, Fatigue, Difficulty walking
 - Cognitive
Post-Intensive Care Syndrome ... analgesics - Delirium ... IntensiveCare #Syndrome ... #PICS #diagnosis ... #management #criticalcare
Alcohol Withdrawal Syndrome (AWS) - ICU OnePager

Scoring Alcohol Withdrawal Syndrome (AWS):
 • PAWSS
 • CIWA-Ar
 •
(AWS) - ICU OnePager ... vital signs • Delirium ... cognition & attention, altered ... • Baclofen & Ketamine ... #AWS #diagnosis
Serotonin Syndrome: Pathogenesis and Clinical Findings
Serotonin Syndrome: Variable combination of mental status changes, autonomic instability, and
Serotonin Syndrome ... amphetamines) • Altered ... pressured speech, delirium ... make a clinical diagnosis ... Pathophysiology #Psychiatry #Diagnosis