37 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
Shock - Findings, Signs and Symptoms by Classification
 - Hypovolemic (Intravascular volume depletion)
 - Distributive (Vasodilation)
Shock - Findings ... DrEricStrong #Shock ... #Differential # ... Classification #Table #CriticalCare ... Symptoms #Findings #Comparison
American College of Critical Care Medicine algorithm for time-sensitive, goal-directed stepwise management of hemodynamic support in
goal-directed stepwise management ... 2) Subsequent ICU ... goals—if shock ... #CriticalCare # ... Pediatrics #Sepsis #Management
Vasopressors and Inotropes
 • Norepinephrine - Levophed - "Levo" - Generally thought of as the first
pressor added in shock ... common in OR; in MICU ... Vasopressors #Inotropes #management ... #criticalcare # ... summary #comparison
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Shock - Differential ... Insufficiency, Liver ... #Differential # ... Diagnosis #criticalcare ... algorithm #treatment #management
Shock Types and Classification
DISTRIBUTIVE 66%
 • Sepsis/SIRS, anaphylaxis, adrenal insufficiency, liver failure, toxins, spinal/neurogenic
 • Warm
Shock Types and ... insufficiency, liver ... Cold and Dry #Shock ... Classification #diagnosis #differential ... #criticalcare
Checklist for Evaluation of New-Onset Delirium in the ICU

Initial assessment 
 - 
Vital signs, neuro exam
Delirium in the ICU ... - CBC with differential ... Carboxyhemoglobin level ... Substantially reduced level ... #CriticalCare #
Shock Classification and Differential Diagnosis
SHOCK
 • MAP <65, SBP <90, drop in SBP > 40
 •
Shock Classification ... and Differential ... Insufficiency, Liver ... Classification #Differential ... Diagnosis #Types #criticalcare
Vasopressors Demystified

Shock comes in many flavors and so do vasopressors. Here’s a OnePager summarizing my approach
Demystified Shock ... Vasopressors #Basics #CriticalCare ... #Management #Pharmacology ... #Comparison #Inotropes
Pressors and Inotropes

Norepinephrine
 • alpha1 > beta 1
 • Increase SVR > Inotropy
Vasopressin
 • V1
 •
Pressors #Inotropes #criticalcare ... #pharmacology #comparison ... #shock #management