12 results
Managing Pain, Anxiety and Delirium in the ICU

Nick Mark MD @nickmmark

#Pain #Anxiety #Delirium #CriticalCare #Comparison #Management
Managing Pain, Anxiety ... Delirium in the ICU ... @nickmmark #Pain ... Anxiety #Delirium #CriticalCare ... #Comparison #Management
Monteggia Fracture 
Fracture of proximal ulnar shaft with radial head dislocation. Remember “MUGR” to recall where
: Pain control ... • If stable ... DC with orthopedic ... • Nonoperative managernent ... #Orthopedics #Proximal
Post-Intensive Care Syndrome (PICS)
Symptoms of PICS:
 - Physical Domain: Generalized weakness, Fatigue, Difficulty walking
 - Cognitive
RISK FACTORS - ICU ... ) - Pain assessment ... PICS #diagnosis #management ... #criticalcare # ... icu
Vasopressors and Inotropes
 • Norepinephrine - Levophed - "Levo" - Generally thought of as the first
common in OR; in MICU ... Vasopressors #Inotropes #management ... #criticalcare # ... summary #comparison #table
Checklist for Treatment of Delirium in the ICU 

Remove causative factors 
 - 
Exclude hypoglycemia if
Delirium in the ICU ... if uncontrolled pain ... Delirium #Checklist #Management ... #Treatment #MICU ... #CriticalCare
Pain, Agitation, and Delirium (PAD) in the ICU
Addressing the ICU Triad (PAD) can be accomplished through
Pain, Agitation, ... Critical Care Pain ... tool to assess pain ... #CriticalCare # ... diagnosis #management
Interphalangeal Joint Dislocation
Interphalangeal joint dislocations almost always occur dorsally, look for associated avulsion fractures! Here's a
joint capsule. collateral ... fingertip) • Exam: Pain ... tendon) • ED Management ... Discharge with orthopedic ... #Hand #Orthopedics
Pancreatitis management checklist 
Evaluation to guide etiology & management 
 - RUQ ultrasound 
 - Calcium
Pancreatitis management ... Pain control - ... gram Q6hr) and pain-dose ... limit them as able ... #CriticalCare
ICU Pre-Rounding Bundle Checklist
VITALS: trends!
 • Important to know if the pt is getting better or
ICU Pre-Rounding ... goal (+/- CAM-ICU ... : what's their main ... Bundle #Checklist #CriticalCare ... #Management
Orthopedic Dressing Materials
1. Opsite - semi-permeable-thin, adhesive transparent polyurethrane film 
 • Indications: Superficial wounds as
Orthopedic Dressing ... evaporation, reduce pain ... Disadvantages: Allergy #Orthopedics ... Dressings #Materials #management ... wound #comparison #table