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Checklist for Evaluation of New-Onset Delirium in the ICU

Initial assessment 
 - 
Vital signs, neuro exam
Delirium in the ICU ... - Relevant drug ... Trauma - Acute ... #CriticalCare # ... Diagnosis
Medications causing Acute Kidney Injury (AKI)
Prerenal:
 • Dehydration: Diuretics
 • Altered intrarenal autoregulation: ACEIs / ARBs,
Medications causing Acute ... sphincter tone: • Opiates ... #Medications #Drugs ... #pharmacology # ... differential #diagnosis
Shock - Differential Diagnosis Framework
MAP = CO x SVR
Hypovolemic (↓ Intravascular volume):
 • Hemorrhage, dehydration due
Shock - Differential ... Diagnosis Framework ... heart failure, acute ... adrenal crisis, drugs ... #comparison #criticalcare
Bradycardia - Differential Diagnosis Framework

BRADI Mnemonic
 • BRASH/Hyperkalemia
 • Reduced oxygen/Glucose/Temp
 • ACS
 • Drugs
 •
Bradycardia - Differential ... Diagnosis Framework ... Temp • ACS • Drugs ... blocking agent • Shock ... Chagas disease • Acute
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
essentially Cardiogenic Shock ... #diagnosis #differential ... heartfailure #chf #criticalcare ... #icu #clinical ... #pharmacology