20 results
Managing Pain, Anxiety and Delirium in the ICU

Nick Mark MD @nickmmark

#Pain #Anxiety #Delirium #CriticalCare #Comparison #Management
Pain, Anxiety and Delirium ... in the ICU Nick ... Pain #Anxiety #Delirium ... Management #Diagnosis #ICU
Valproic Acid in the ICU for Agitation and Delirium
Up to 70% of ICU patients experience agitation
Valproic Acid in the ICU ... Agitation and Delirium ... Up to 70% of ICU ... efficacy Proposed ICU ... outside of the ICU
Pain, Agitation, and Delirium (PAD) in the ICU
Addressing the ICU Triad (PAD) can be accomplished through
Agitation, and Delirium ... below) D - Delirium ... non-intubated patients (ie EtOH ... preventing or treating delirium ... Pain #Agitation #Delirium
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 ... especially if* - Delirium ... #Checklist #Delirium ... Evaluation #Workup #MICU
The Hot and Altered Patient in the ED - Differential Diagnosis Framework
 • Heat Stroke
 •
Sympathomimetic Toxidrome • ETOH ... Differential #Diagnosis #delirium
Post-Intensive Care Syndrome (PICS)
Symptoms of PICS:
 - Physical Domain: Generalized weakness, Fatigue, Difficulty walking
 - Cognitive
RISK FACTORS - ICU ... analgesics - Delirium ... treatments - Delirium ... screening (CAM-ICU ... #criticalcare #icu
Phenobarbital monotherapy algorithm for alcohol withdrawal

** EDIT - SEE UPDATED ALGORITHM HERE:
https://www.grepmed.com/images/4060/phenobarbital-monotherapy-withdrawal-management-algorithm-protocol-pulmcrit

-Phenobarbital monotherapy has numerous advantages
Alternative causes of delirium ... withdrawal, the current shortage ... Management #Alcohol #EtOH
Alcohol Withdrawal Timeline
Minor withdrawal (6 to 36 hours) - Tremulousness, mild anxiety, headache, diaphoresis, palpitations, gastrointestinal
vital signs • Delirium ... to 96 hours) - Delirium ... Withdrawal #Timeline #etoh
Checklist for Treatment of Delirium in the ICU 

Remove causative factors 
 - 
Exclude hypoglycemia if
for Treatment of Delirium ... in the ICU Remove ... #Delirium #Checklist ... Management #Treatment #MICU
Hypertension and Altered Mental Status (AMS) - Differential Diagnosis Framework

Hypertension:
 • Hypertensive emergency
 • Hypertensive encephalopathy
Seizures/NCSE • Delirium ... Drug (-): • ETOH