7 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 ... @nickmmark #Pain ... #CriticalCare # ... Comparison #Management
Post-Intensive Care Syndrome (PICS)
Symptoms of PICS:
 - Physical Domain: Generalized weakness, Fatigue, Difficulty walking
 - Cognitive
Emotional Domain: Anxiety ... ) - Pain assessment ... PICS #diagnosis #management ... #criticalcare # ... icu
Acute Fatty Liver of Pregnancy (AFLP)
Pathophysiology:
 • Defect in fetal free fatty acid metabolism products →
of Pregnancy (AFLP ... vomiting, abdominal pain ... Cr, ↓Glucose, ↓PLT ... infiltration) Differential ... iMedEducation #AFLP
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 ... delirium #causes #differential ... coronavirus #diagnosis #criticalcare
ICU Pre-Rounding Bundle Checklist
VITALS: trends!
 • Important to know if the pt is getting better or
ICU Pre-Rounding ... goal (+/- CAM-ICU ... : what's their main ... Bundle #Checklist #CriticalCare ... #Management
Ventilator Alarms
Increased Rate - Patient is tiring on a weaning mode or experiencing pain/anxiety
 - Reassess
or experiencing pain ... /anxiety - Reassess ... increase RR in PC ... MechanicalVentilation #Nursing #Differential ... #Diagnosis #Management
Differentiation Syndrome in APML
Epidemiology:
 • Incidence: common in APL (2-48% depending on the study)
 • Triggers:
effusions, weight gain ... initiation • Differential ... organ dysfuxtion, ICU ... fluid overload, PCC ... APML #diagnosis #management