8 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 ... the ICU Nick ... @nickmmark #Pain ... #CriticalCare #Comparison
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 ... benzodiazepines used for pain ... Antipsychotics ... outside of the ICU
Pain, Agitation, and Delirium (PAD) in the ICU
Addressing the ICU Triad (PAD) can be accomplished through
Pain, Agitation, ... and Delirium (PAD ... tool to assess pain ... non-intubated patients (ie EtOH ... Antipsychotics:
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 ... ) - Pain assessment
Hyperparathyroidism - Primary vs Secondary vs Tertiary 
Lab Comparison:
 • Primary Hyperparathyroidism: ↑→PTH, ↑Calcium, ↑Vitamin D,
Tertiary Lab Comparison ... urination, Abdominal pain ... weakness, Bone/joint pain ... Psychiatric Symptoms ... Disorientation, Delirium
Checklist for Treatment of Delirium in the ICU 

Remove causative factors 
 - 
Exclude hypoglycemia if
for Treatment of Delirium ... in the ICU Remove ... if uncontrolled pain ... refractory to antipsychotic ... #Delirium #Checklist
Cold Urticaria
Prevalence - 0.05% in the population
Disease onset - Mostly 2nd to 4th decades of life
Causes
and duration of symptoms ... angioedema Other symptoms ... Nausea, abdominal pain ... Diagnostic tests - Ice ... #rheumatology #comparison
Alcohol Withdrawal Syndrome (AWS) - ICU OnePager

Scoring Alcohol Withdrawal Syndrome (AWS):
 • PAWSS
 • CIWA-Ar
 •
Syndrome (AWS) - ICU ... Withdrawal Symptom ... Minor Withdrawal Symptoms ... vital signs • Delirium ... treatment #management #etoh