15 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 ... Anxiety #Delirium #CriticalCare ... #Comparison #Management ... #Diagnosis #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 ... #criticalcare # ... icu
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
Delirium (PAD) in the ICU ... Addressing the ICU ... Propofol infusion syndrome ... #CriticalCare # ... diagnosis #management
Vasopressors and Inotropes
 • Norepinephrine - Levophed - "Levo" - Generally thought of as the first
common in OR; in MICU ... shock/vasoplegia, Post-cardiopulm ... Vasopressors #Inotropes #management ... #criticalcare # ... summary #comparison
Hantavirus
Pathogen: Hantavirus - Rodents are the primary reservoir
Transmission:
 • Shed in the urine, feces, saliva of
Aerosol is the most ... Cardiopulmonary Syndrome ... • Autopsy PCR Treatment ... • Supportive: ICU ... Hantavirus #diagnosis #management
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 ... ICU pts a CBC and ... Admitting #Admissions #ICU ... diagnosis #workup #criticalcare
Sepsis - Diagnosis and Management
Life-threatening organ dysfunction caused by a dysregulated host response to infection
SEPTIC SHOCK
a dysregulated host ... likelihood of prolonged ICU ... recognition and treatment ... #QSOFA #SIRS #criticalcare ... #icu
ICU Pre-Rounding Bundle Checklist
VITALS: trends!
 • Important to know if the pt is getting better or
ICU Pre-Rounding ... VENT: mode + settings ... goal (+/- CAM-ICU ... @EmmGeezee #ICU ... #Management
Differentiation Syndrome in APML
Epidemiology:
 • Incidence: common in APL (2-48% depending on the study)
 • Triggers:
Differentiation Syndrome ... Triggers: ATRA treatment ... effusions, weight gain ... organ dysfuxtion, ICU ... APML #diagnosis #management