36 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
Pharmacologic Options for Management of Excited Delirium 
Benzodiazepines
 - Diazepam 
 - Lorazepam 
 - Midazolam
Management of Excited Delirium ... - Midazolam Antipsychotics ... Diphenhydramine #Excited #Delirium ... #Pharmacology #Treatment
Post-Intensive Care Syndrome (PICS)
Symptoms of PICS:
 - Physical Domain: Generalized weakness, Fatigue, Difficulty walking
 - Cognitive
Syndrome (PICS) Symptoms ... RISK FACTORS - ICU ... analgesics - Delirium ... guide targeted treatments ... - Delirium
Checklist for Treatment of Delirium in the ICU 

Remove causative factors 
 - 
Exclude hypoglycemia if
Checklist for Treatment ... of Delirium in ... the ICU Remove ... refractory to antipsychotic ... #Delirium #Checklist
Pain, Agitation, and Delirium (PAD) in the ICU
Addressing the ICU Triad (PAD) can be accomplished through
Agitation, and Delirium ... below) D - Delirium ... Antipsychotics: ... preventing or treating delirium ... Pain #Agitation #Delirium
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
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
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
Pharmacologic treatment algorithms by Global Initiative for Chronic Obstructive Lung Disease grade. Highlighted boxes and arrows
Pharmacologic treatment ... indicate preferred treatment ... perceived level of symptoms ... long-acting β2-agonist; ICS ... GOLD2017 #LAMA #LABA #ICS