26 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 ... CriticalCare #Comparison #Management ... #Diagnosis #ICU
Pain, Agitation, and Delirium (PAD) in the ICU
Addressing the ICU Triad (PAD) can be accomplished through
Delirium (PAD) in the ICU ... Addressing the ICU ... assessment of the ICU ... sedation in the ICU ... opioid in the ICU
Post-Intensive Care Syndrome (PICS)
Symptoms of PICS:
 - Physical Domain: Generalized weakness, Fatigue, Difficulty walking
 - Cognitive
RISK FACTORS - ICU ... screening (CAM-ICU ... ) - Pain assessment ... Syndrome #PICS #diagnosis ... #icu
Monteggia Fracture 
Fracture of proximal ulnar shaft with radial head dislocation. Remember “MUGR” to recall where
ligamentous injury (LCL ... : Pain control ... • If stable ... Radiology #XRay #Diagnosis ... #Management #Orthopedics
Main types of autoimmune encephalitis in the ICU. 
Anti-NMDAR anti-N-methyl-d-aspartate receptor, ADEM acute disseminated encephalomyelitis, Anti-GFAP
Main types of autoimmune ... encephalitis in the ICU ... encephalitis #comparison #table ... #neurology #diagnosis
Hantavirus
Pathogen: Hantavirus - Rodents are the primary reservoir
Transmission:
 • Shed in the urine, feces, saliva of
barns and lake houses ... +/- diarrhea Diagnosis ... • Supportive: ICU ... #Hantavirus #diagnosis ... #management #treatment
Creatine Kinase - Causes of Elevated CK Levels
Acute CK Elevation (Pain > Weakness):
 • RHABDOMYOLYSIS
Creatine Kinase - Causes ... CK Elevation (Pain ... Illness Myopathy (ICU ... (Weakness > Pain ... #differential #diagnosis
Delirium in the ICU

Defining delirium
Types of delirium
Consequences of delirium
Reversible causes of delirium
Drug-induced delirium
Non-pharmacologic management of delirium
Pharmacologic
Delirium in the ICU ... delirium Reversible causes ... Pharmacologic management ... theABofPharmaC #ICU ... #criticalcare #diagnosis
Sepsis - Diagnosis and Management
Life-threatening organ dysfunction caused by a dysregulated host response to infection
SEPTIC SHOCK
Sepsis - Diagnosis ... organ dysfunction caused ... likelihood of prolonged ICU ... Sepsis #Criteria #Diagnosis ... #criticalcare #icu
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 ... @EmmGeezee #ICU ... #CriticalCare #Management