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
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
management of delirium ... Pharmacologic ... management of delirium ... management #criticalcare ... #diagnosis
Alcohol Withdrawal Timeline
Minor withdrawal (6 to 36 hours) - Tremulousness, mild anxiety, headache, diaphoresis, palpitations, gastrointestinal
and normal vital signs ... • Delirium tremens ... to 96 hours) - Delirium ... Withdrawal #Timeline #etoh ... #diagnosis
Alcohol Use Disorder: Pathogenesis and Clinical Findings

 • Tolerance (reduced sensitivity to effects of EtOH)
 •
to effects of EtOH ... exacerbated by EtOH ... desire to use EtOH ... #Pathophysiology ... #Diagnosis #Signs
Osteoporosis: Pathogenesis and risk factors

 • Age > 30 (post-peak bone mass)
 • Post-menopausal women ->
Factors - smoking, etoh ... #Osteoporosis #pathophysiology ... #signs #symptoms ... #diagnosis
Checklist for Evaluation of New-Onset Delirium in the ICU

Initial assessment 
 - 
Vital signs, neuro exam
Evaluation of New-Onset Delirium ... assessment - Vital signs ... #Checklist #Delirium ... #Workup #MICU #CriticalCare ... #Diagnosis
Pain, Agitation, and Delirium (PAD) in the ICU
Addressing the ICU Triad (PAD) can be accomplished through
non-intubated patients (ie EtOH ... No pharmacologic ... (Haldol) - No pharmacologic ... #PAD #ICU #CriticalCare ... #diagnosis #management
Hyperparathyroidism - Primary vs Secondary vs Tertiary 
Lab Comparison:
 • Primary Hyperparathyroidism: ↑→PTH, ↑Calcium, ↑Vitamin D,
Symptoms: Commonly no signs ... Disorientation, Delirium ... Hyperparathyroidism #diagnosis ... Secondary #Tertiary #pathophysiology
Post-Intensive Care Syndrome (PICS)
Symptoms of PICS:
 - Physical Domain: Generalized weakness, Fatigue, Difficulty walking
 - Cognitive
analgesics - Delirium ... treatments - Delirium ... Syndrome #PICS #diagnosis ... #management #criticalcare
Enteral Nutrition - ICU One Pager
 • When to start enteral feeds
 • When NOT to
Enteral #Nutrition #criticalcare ... #icu #pharmacology ... #diagnosis #management