33 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 ... #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
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
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 ... Syndrome #PICS #diagnosis ... #management #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 ... #coronavirus #diagnosis ... #criticalcare
Hypoxemia and Dyspnea - Rapid Response Management

1) Ask for vitals en route
2) Stabilize: Nasal canula 
3)
Rapid Response Management ... vitals en route 2) Stabilize ... Cardiac, Neuro 4) Diagnose ... Hypoxemia #Dyspnea #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
Enteral Nutrition - ICU One Pager
 • When to start enteral feeds
 • When NOT to
Enteral #Nutrition #criticalcare ... #icu #pharmacology ... #diagnosis #management
Bradycardia - Differential Diagnosis Framework and Management
Narrow Complex Bradycardia:
 • Regular: Sinus Bradycardia, AFib w/ AV
- Differential Diagnosis ... Framework and Management ... Depending on degree of instability ... #Differential #Diagnosis ... #criticalcare