45 results
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
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
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
Post-Intensive Care Syndrome (PICS)
Symptoms of PICS:
 - Physical Domain: Generalized weakness, Fatigue, Difficulty walking
 - Cognitive
Post-Intensive Care Syndrome ... analgesics - Delirium ... IntensiveCare #Syndrome ... #PICS #diagnosis ... #management #criticalcare
Clinical Manifestations of Serotonin Syndrome
 • Ophthalmologic: Mydriasis, Ocular clonus (slow horizontal movements)
 • Gastrointestinal: Diarrhea,
Clinical Manifestations ... of Serotonin Syndrome ... CNS: Agitation, Delirium ... shock) Spectrum of Clinical ... spectrum #signs #diagnosis
Pain, Agitation, and Delirium (PAD) in the ICU
Addressing the ICU Triad (PAD) can be accomplished through
will vary with clinical ... Propofol infusion syndrome ... No pharmacologic ... #PAD #ICU #CriticalCare ... #diagnosis #management
On the left some diseases with a nodular pattern.
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary
centrilobular nodules ... Sarcoidosis: nodules ... Sarcoidosis: nodules ... #Clinical #Diagnosis ... #Differential #Comparison
Refeeding Syndrome: Pathogenesis and clinical findings

Patients at Risk of Refeeding Syndrome:
 - Little or no nutritional
Refeeding Syndrome ... Pathogenesis and clinical ... Risk of Refeeding Syndrome ... Ataxia, Coma, Delirium ... #diagnosis #pathophysiology
Berlin Criteria for Acute Respiratory Distress Syndrome (ARDS) 
- Respiratory symptoms must have begun within one
Respiratory Distress Syndrome ... week of a known clinical ... , or pulmonary nodules ... Definition #Criteria #Diagnosis ... #CriticalCare
Shock - Differential Diagnosis Framework
MAP = CO x SVR
Hypovolemic (↓ Intravascular volume):
 • Hemorrhage, dehydration due
- Differential Diagnosis ... anaphylaxis, release syndrome ... #Differential #Diagnosis ... #table #comparison ... #criticalcare