13 results
Managing Pain, Anxiety and Delirium in the ICU

Nick Mark MD @nickmmark

#Pain #Anxiety #Delirium #CriticalCare #Comparison #Management
Pain, Anxiety and Delirium ... in the ICU Nick ... Pain #Anxiety #Delirium ... #CriticalCare #Comparison ... Management #Diagnosis #ICU
Valproic Acid in the ICU for Agitation and Delirium
Up to 70% of ICU patients experience agitation
Valproic Acid in the ICU ... Up to 70% of ICU ... Antipsychotics ... efficacy Proposed ICU ... outside of the ICU
Pain, Agitation, and Delirium (PAD) in the ICU
Addressing the ICU Triad (PAD) can be accomplished through
Agitation, and Delirium ... below) D - Delirium ... non-intubated patients (ie EtOH ... Antipsychotics: ... Pain #Agitation #Delirium
Post-Intensive Care Syndrome (PICS)
Symptoms of PICS:
 - Physical Domain: Generalized weakness, Fatigue, Difficulty walking
 - Cognitive
Syndrome (PICS) Symptoms ... RISK FACTORS - ICU ... analgesics - Delirium ... treatments - Delirium ... screening (CAM-ICU
Checklist for Treatment of Delirium in the ICU 

Remove causative factors 
 - 
Exclude hypoglycemia if
for Treatment of Delirium ... in the ICU Remove ... refractory to antipsychotic ... #Delirium #Checklist ... Management #Treatment #MICU
Rapid, increasing signs of extrapyramidal symptoms (EPS) is an important key feature of NMS. EPS, associated
extrapyramidal symptoms ... with conventional antipsychotics ... to produce EPS symptoms ... of conventional antipsychotics ... NeurolepticMalignant #Comparison
A toxidrome is a syndrome (set of symptoms) caused by specific medications or toxins.

There are 5
syndrome (set of symptoms ... Anticholinergic: low potency antipsychotics ... Toxicology #Toxidromes #Comparison
Hyperparathyroidism - Primary vs Secondary vs Tertiary 
Lab Comparison:
 • Primary Hyperparathyroidism: ↑→PTH, ↑Calcium, ↑Vitamin D,
Tertiary Lab Comparison ... Phosphate Physical Symptoms ... pain Psychiatric Symptoms ... Disorientation, Delirium
COVID-19 Clinical Course and Progression - Survivors vs Non-Survivors

UCSF Grand Rounds March 20 2020

#Course #Progression #Timeline
Timeline #Diagnosis #ICU ... #Symptoms #Signs ... #Survivors #Comparison
Updated phenobarbital alcohol withdrawal protocol

See old algorithm here: https://www.grepmed.com/images/1485/phenobarbital-monotherapy-withdrawal-management-algorithm-pulmcrit-protocol

The protocol was consequently modified as shown below,
Any residual delirium ... treated with an antipsychotic ... Management #Alcohol #EtOH