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Managing Pain, Anxiety and Delirium in the ICU

Nick Mark MD @nickmmark

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

Initial assessment 
 - 
Vital signs, neuro exam
Evaluation of New-Onset Delirium ... in the ICU Initial ... glucose - Review medication ... - CBC with differential ... #CriticalCare #
Post-Intensive Care Syndrome (PICS)
Symptoms of PICS:
 - Physical Domain: Generalized weakness, Fatigue, Difficulty walking
 - Cognitive
analgesics - Delirium ... treatments - Delirium ... ) - Pain assessment ... PICS #diagnosis #management ... #criticalcare #
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
Pain, Agitation, and Delirium (PAD) in the ICU
Addressing the ICU Triad (PAD) can be accomplished through
Pain, Agitation, ... and Delirium (PAD ... tool to assess pain ... #PAD #ICU #CriticalCare ... #diagnosis #management
Causes of COVIDー19 ICU delirium
Restricted Visitation
 • Family Disconnected
 • Sense of Isolation
 • Disorientation
 •
Causes of COVIDー19 ICU ... Interventions • Fewer Pain ... disturbances #COVID19 #ICU ... #differential # ... coronavirus #diagnosis #criticalcare
Bradycardia
1) First Steps: IV, O2, Monitors, ECG, Pads on patient, Crash Cart in room. Is patient
from CHF, Chest Pain ... Administer sedative & pain ... medication. 3) ... bradycardia #diagnosis #differential ... #management #cardiology
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