15 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
Altered Mental Status - Differential Diagnosis
 • Neurologic: Stroke, Cerebral hypoxia, Cerebral hemorrhage, Seizure, Trauma, TBI,
Mental Status - Differential ... Diagnosis • Neurologic ... Abscess • Toxic: Medications ... Insomnia, HTN, PRES, Pain ... Constipation, Delirium
Checklist for Evaluation of New-Onset Delirium in the ICU

Initial assessment 
 - 
Vital signs, neuro exam
Evaluation of New-Onset Delirium ... glucose - Review medication ... - CBC with differential ... #Workup #MICU #CriticalCare ... #Diagnosis
Checklist for Treatment of Delirium in the ICU 

Remove causative factors 
 - 
Exclude hypoglycemia if
- Review the medication ... if uncontrolled pain ... sleeping, administer pharmacologic ... #Management #Treatment ... #MICU #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
Massive Hemoptysis - Differential Diagnosis Framework and Management
Definition: 150-600 mL over 24 hours
Differential Diagnosis:
 • Tracheobronchial:
Diagnosis Framework ... Diagnosis: • ... : 1) Indications ... #Diagnosis #Management ... #pulmonary #criticalcare
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Shock - Differential ... Diagnosis Framework ... Failure, Toxins/Medications ... #Diagnosis #criticalcare ... algorithm #treatment #management
Medications causing Acute Kidney Injury (AKI)
Prerenal:
 • Dehydration: Diuretics
 • Altered intrarenal autoregulation: ACEIs / ARBs,
Medications causing ... , tenofovir • AIN ... #Drugs #pharmacology ... #differential # ... diagnosis