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Managing Pain, Anxiety and Delirium in the ICU

Nick Mark MD @nickmmark

#Pain #Anxiety #Delirium #CriticalCare #Comparison #Management
Managing Pain, Anxiety ... and Delirium in ... @nickmmark #Pain ... CriticalCare #Comparison #Management ... #Diagnosis #ICU
Pain, Agitation, and Delirium (PAD) in the ICU
Addressing the ICU Triad (PAD) can be accomplished through
Pain, Agitation, ... and Delirium (PAD ... Opioids: • Fentanyl ... Generally first line opioid ... #diagnosis #management
Post-Intensive Care Syndrome (PICS)
Symptoms of PICS:
 - Physical Domain: Generalized weakness, Fatigue, Difficulty walking
 - Cognitive
analgesics - Delirium ... treatments - Delirium ... ) - Pain assessment ... Syndrome #PICS #diagnosis ... #management #criticalcare
Pancreatitis management checklist 
Evaluation to guide etiology & management 
 - RUQ ultrasound 
 - Calcium
Pain control - ... gram Q6hr) and pain-dose ... - Opioids may ... limit them as able ... Pancreatitis #Checklist #Diagnosis
Acute Pancreatitis - Diagnosis and Management - GrepMed Handbook

Presentation: 
 • Epigastric abdominal pain (90%, characteristically
and Management ... Epigastric abdominal pain ... Scheduled APAP, IV Opioids ... ileus), consider pain-dose ... ketamine (ICU);
Alcohol Withdrawal Syndrome (AWS) - ICU OnePager

Scoring Alcohol Withdrawal Syndrome (AWS):
 • PAWSS
 • CIWA-Ar
 •
Alcohol Withdrawal ... Syndrome (AWS) - ICU ... vital signs • Delirium ... Syndrome #AWS #diagnosis ... #treatment #management
Rhabdomyolysis - Differential Diagnosis Framework
Rhabdomyolysis = Destruction of skeletal muscle with leakage of contents into circulation.
- Differential Diagnosis ... exercise, Seizures, Delirium ... ), Colchicine, Alcohol ... , Opioids, Cocaine ... Causes #nephrology #table
Alcohol Use Disorder - Maintenance Treatment
Naltrexone (first line) - First line for most people without contraindications
Alcohol Use Disorder ... if also chronic pain ... dosing by family, opioid ... Maintenance #Treatment #management ... #pharmacology #table