14 results
Managing Pain, Anxiety and Delirium in the ICU

Nick Mark MD @nickmmark

#Pain #Anxiety #Delirium #CriticalCare #Comparison #Management
Managing Pain, Anxiety ... and Delirium in ... @nickmmark #Pain ... #CriticalCare # ... Comparison #Management
Pain Assessment and Management Initiative (PAMI) - Opioid Prescribing and Equianalgesic Chart - Agents and Dosing

#Management
Pain Assessment ... and Management Initiative ... and Dosing #Management ... #Pain #Pharmacology ... Equianalgesics #Conversion
Valproic Acid in the ICU for Agitation and Delirium
Up to 70% of ICU patients experience agitation
Agitation and Delirium ... benzodiazepines used for pain ... guidelines for delirium ... #pharmacology # ... criticalcare
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 ... management of delirium ... Pharmacologic ... management of delirium ... management #criticalcare
Intern Pocket Cards - Pharmacologic Pain Management Options
Anti-inflammatory:
 • Acetaminophen (24 hours: < 3-4g in healthy
Pocket Cards - Pharmacologic ... Pain Management ... Equianalgesia Conversion ... pocketcardset #Pain ... #Opioid #Conversion
OPIOID SWITCHING AND TAPERING.

Long term opioid use results in physical (and potentially psychological) dependence. Opioids should
insomnia, muscle pain ... protocol #opioid #pain ... tapering #switching #pharmacology ... #conversion #management
Pain, Agitation, and Delirium (PAD) in the ICU
Addressing the ICU Triad (PAD) can be accomplished through
Pain, Agitation, ... No pharmacologic ... (Haldol) - No pharmacologic ... #PAD #ICU #CriticalCare ... #diagnosis #management
Post-Intensive Care Syndrome (PICS)
Symptoms of PICS:
 - Physical Domain: Generalized weakness, Fatigue, Difficulty walking
 - Cognitive
analgesics - Delirium ... treatments - Delirium ... CAM-ICU) - Pain ... PICS #diagnosis #management ... #criticalcare #
Checklist for Treatment of Delirium in the ICU 

Remove causative factors 
 - 
Exclude hypoglycemia if
for Treatment of Delirium ... if uncontrolled pain ... sleeping, administer pharmacologic ... #Management #Treatment ... #MICU #CriticalCare
Causes of COVIDー19 ICU delirium
Restricted Visitation
 • Family Disconnected
 • Sense of Isolation
 • Disorientation
 •
of COVIDー19 ICU delirium ... Interventions • Fewer Pain ... Dysfunction • Inability ... #COVID19 #ICU #delirium ... coronavirus #diagnosis #criticalcare