11 results
Managing Pain, Anxiety and Delirium in the ICU

Nick Mark MD @nickmmark

#Pain #Anxiety #Delirium #CriticalCare #Comparison #Management
and Delirium in ... the ICU Nick ... #CriticalCare # ... Comparison #Management ... #Diagnosis #ICU
Checklist for Evaluation of New-Onset Delirium in the ICU

Initial assessment 
 - 
Vital signs, neuro exam
in the ICU Initial ... glucose - Review medication ... - CBC with differential ... Evaluation #Workup #MICU ... #CriticalCare #
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 ... causes of delirium ... management of delirium ... theABofPharmaC #ICU ... #management #criticalcare
Pain, Agitation, and Delirium (PAD) in the ICU
Addressing the ICU Triad (PAD) can be accomplished through
) in the ICU Addressing ... the ICU Triad ( ... : assess (CAM-ICU ... #PAD #ICU #CriticalCare ... #diagnosis #management
Checklist for Treatment of Delirium in the ICU 

Remove causative factors 
 - 
Exclude hypoglycemia if
in the ICU Remove ... - Review the medication ... if uncontrolled pain ... #Management #Treatment ... #MICU #CriticalCare
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
Causes of COVIDー19 ICU delirium
Restricted Visitation
 • Family Disconnected
 • Sense of Isolation
 • Disorientation
 •
19 ICU delirium ... Interventions • Fewer Pain ... disturbances #COVID19 #ICU ... #delirium #causes ... #differential #
Creatine Kinase - Causes of Elevated CK Levels
Acute CK Elevation (Pain > Weakness):
 • RHABDOMYOLYSIS
Creatine Kinase - Causes ... CK Elevation (Pain ... Illness Myopathy (ICU ... (Weakness > Pain ... #Elevated #CK #differential
Vasopressors and Inotropes
 • Norepinephrine - Levophed - "Levo" - Generally thought of as the first
common in OR; in MICU ... Vasopressors #Inotropes #management ... #criticalcare # ... summary #comparison ... #pharmacology #indications
ICU Pre-Rounding Bundle Checklist
VITALS: trends!
 • Important to know if the pt is getting better or
ICU Pre-Rounding ... goal (+/- CAM-ICU ... @EmmGeezee #ICU ... Bundle #Checklist #CriticalCare ... #Management