22 results
Valproic Acid in the ICU for Agitation and Delirium
Up to 70% of ICU patients experience agitation
in the ICU for Agitation ... patients experience agitation ... used for pain & agitation ... #Delirium #pharmacology ... #criticalcare
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
Serotonin Syndrome - THINK: FAST
 - FAST onset
 - FAST movements (agitation, akathisia, HYPERreflexia)
 - FAST
Serotonin Syndrome ... FAST movements (agitation ... Neuroleptic Malignant Syndrome ... #Diagnosis #Toxicology ... #Comparison #Differentiate
Toxidromes: Serotonin Syndrome, Neuroleptic Malignant Syndrome, Anticholinergic Delirium - Venn Diagram

All: Hypertension, Tachycardia

Anticholinergic Delirium:
- dilated pupils,
Toxidromes: Serotonin Syndrome ... Anticholinergic Delirium ... Anticholinergic Delirium ... Anticholinergic #Comparison ... #Diagnosis
When trying to differentiate between the two conditions think “FAST” with Serotonin Syndrome and “SLOW” with
with Serotonin Syndrome ... Serotonin Syndrome ... FAST movements (agitation ... resolution #Diagnosis ... NeurolepticMalignant #Comparison
Clinical Manifestations of Serotonin Syndrome
 • Ophthalmologic: Mydriasis, Ocular clonus (slow horizontal movements)
 • Gastrointestinal: Diarrhea,
Manifestations of Serotonin Syndrome ... flushing • CNS: Agitation ... , Delirium, Rigidity ... ucsdim #Serotonin #Syndrome ... spectrum #signs #diagnosis
Pain, Agitation, and Delirium (PAD) in the ICU
Addressing the ICU Triad (PAD) can be accomplished through
Pain, Agitation, ... Propofol infusion syndrome ... No pharmacologic ... #ICU #CriticalCare ... #diagnosis #management
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
Non-pharmacologic ... Pharmacologic ... #pharmacology # ... management #criticalcare ... #diagnosis
Hypertension and Altered Mental Status (AMS) - Differential Diagnosis Framework

Hypertension:
 • Hypertensive emergency
 • Hypertensive encephalopathy
- Differential Diagnosis ... • Cushing’s syndrome ... Seizures/NCSE • Delirium ... /agitation • CNS ... • Serotonin syndrome
Characteristics of Serotonin Syndrome and Other Hyperthermic Syndromes 
Serotonin Syndrome
 - SSRIs, second-generation antidepressants, MAOIs, linezolid,
Characteristics of Serotonin Syndrome ... Other Hyperthermic Syndromes ... Serotonin Syndrome ... diarrhea, mydriasis, agitation ... #Diagnosis #Comparison