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Managing Pain, Anxiety and Delirium in the ICU

Nick Mark MD @nickmmark

#Pain #Anxiety #Delirium #CriticalCare #Comparison #Management
Pain, Anxiety and Delirium ... Pain #Anxiety #Delirium ... #CriticalCare # ... Comparison #Management ... #Diagnosis #ICU
Checklist for Treatment of Delirium in the ICU 

Remove causative factors 
 - 
Exclude hypoglycemia if
for Treatment of Delirium ... c deliriogenic meds ... #Delirium #Checklist ... #Management #Treatment ... #MICU #CriticalCare
Post-Intensive Care Syndrome (PICS)
Symptoms of PICS:
 - Physical Domain: Generalized weakness, Fatigue, Difficulty walking
 - Cognitive
analgesics - Delirium ... treatments - Delirium ... PICS #diagnosis #management ... #criticalcare # ... icu
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
ICU Defining ... Non-pharmacologic management ... management of delirium ... theABofPharmaC #ICU ... #management #criticalcare
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 ... Shock #Algorithm #CriticalCare ... #Peds #Pediatrics ... #Sepsis #Management
Pain, Agitation, and Delirium (PAD) in the ICU
Addressing the ICU Triad (PAD) can be accomplished through
Agitation, and Delirium ... below) D - Delirium ... Pain #Agitation #Delirium ... #PAD #ICU #CriticalCare ... #diagnosis #management
Vasopressors and Inotropes
 • Norepinephrine - Levophed - "Levo" - Generally thought of as the first
common in OR; in MICU ... Vasopressors #Inotropes #management ... #criticalcare # ... summary #comparison #table
Admitting in the ICU - Checklist
VITALS: If bad, stop and go see the patient immediately; you
Admitting in the ICU ... esp in work-up/management ... miss MDR bugs) MEDS ... overdose of home meds ... diagnosis #workup #criticalcare
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
differential #algorithm #management ... cardiology #treatment #table ... heartfailure #chf #criticalcare ... #icu #clinical