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Pain, Agitation, and Delirium (PAD) in the ICU
Addressing the ICU Triad (PAD) can be accomplished through
Pain, Agitation, ... Richmond Agitation ... Propofol infusion syndrome ... bradycardia • Ketamine ... #Agitation #Delirium
Dosing of Ketamine for Severe Agitation 

#ketamine #psychiatry #algorithm #agitation #dosing #Combative #Excited #Delirium #Sedation
Dosing of Ketamine ... for Severe Agitation ... #ketamine # ... psychiatry #algorithm #agitation
Ketamine - Common Myths, Indications, Dosing and Adverse Effects
 - Analgesia
 - Depression
 - Agitation
 -
Ketamine - Common ... Depression - Agitation ... Dissociation #Ketamine
Onset of Intramuscular (IM) Medications for Severe Agitation
Ketamine (2-5 mg/kg IM) 3-7m
Droperidol (5 mg IM) 5-10m
Midazolam
Medications for Severe Agitation ... Ketamine (2-5 ... #Medications #Agitation ... #Onset #Agitation
Ketamine Dosing

0.1 — 0.3 mg/kg Analgesia 
0.2 - 0.5 mg/kg Recreational 
0.4 — 0.8 mg/kg Partially
Ketamine Dosing ... dissociated #Ketamine ... #Pharmacology #Pain
The Acute Care Opioid Table - For Emergency Providers

There are a hundred opioid tables out there,
Including ketamine ... the non-opioid, ketamine ... Buprenorphine, IV Ketamine ... , IN Ketamine ... #Opioid #Pain
Clinical Manifestations of Serotonin Syndrome
 • Ophthalmologic: Mydriasis, Ocular clonus (slow horizontal movements)
 • Gastrointestinal: Diarrhea,
Manifestations of Serotonin Syndrome ... bowel sounds, RUQ pain ... flushing • CNS: Agitation ... ucsdim #Serotonin #Syndrome
Serotonin Syndrome - THINK: FAST
 - FAST onset
 - FAST movements (agitation, akathisia, HYPERreflexia)
 - FAST
Serotonin Syndrome ... FAST movements (agitation ... Neuroleptic Malignant Syndrome ... NeurolepticMalignant #Syndrome
When trying to differentiate between the two conditions think “FAST” with Serotonin Syndrome and “SLOW” with
with Serotonin Syndrome ... Neuroleptic Malignant Syndrome ... Serotonin Syndrome ... FAST movements (agitation ... Neuroleptic Malignant Syndrome
Serotonin Syndrome
 - Rapid onset 
 - Combination of 2+ serotonin agonists 
Mental status changes:
Serotonin Syndrome ... changes: - Agitation ... #Serotonin #Syndrome