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 ... @nickmmark #Pain ... #CriticalCare # ... Comparison #Management
Takotsubo Cardiomyopathy on POCUS

78 year old woman - Acute delirium but complaining of chest pain 
ECG:
woman - Acute delirium ... complaining of chest pain ... Cardiomyopathy #POCUS #Ultrasound ... #Clinical #Echocardiogram
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 ... - Review the medication ... if uncontrolled pain ... #Management #Treatment ... #MICU #CriticalCare
Pain, Agitation, and Delirium (PAD) in the ICU
Addressing the ICU Triad (PAD) can be accomplished through
Pain, Agitation, ... Family engagement Critical ... will vary with clinical ... #PAD #ICU #CriticalCare ... #diagnosis #management
Pancreatitis management checklist 
Evaluation to guide etiology & management 
 - RUQ ultrasound 
 - Calcium
- RUQ ultrasound ... - Review of medication ... Pain control - ... gram Q6hr) and pain-dose ... #CriticalCare
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
into meaningful clinical ... fails to achieve clinical ... Alternative causes of delirium ... useful initially to gain ... #Management #Alcohol
Indications for therapeutic intervention of pancreatic pseudocysts.
Complicated pancreatic pseudocysts (one criterion sufficient)
 • Compression of large
Indications for ... large vessels (clinical ... and vomiting • Pain ... #Intervention #Indications ... #Management
Tubal Ectopic Pregnancy on Transvaginal Pelvic Ultrasound

A 31yo female s/p tubal ligation presents with right lower
Transvaginal Pelvic Ultrasound ... lower quadrant pain ... will not change management ... Transvaginal #Pelvic #Ultrasound ... #POCUS #clinical
Endocarditis checklist
Initial evaluation
 • Peripheral blood cultures (three sets at three different sites)
 • Additional culture
spleen, brain) Indications ... • Aggressive management ... Internet Book of Critical ... Endocarditis #checklist #criticalcare ... #diagnosis #management