14 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 ... #CriticalCare # ... Comparison #Management ... #Diagnosis #ICU
Pressors and Inotropes

Norepinephrine
 • alpha1 > beta 1
 • Increase SVR > Inotropy
Vasopressin
 • V1
 •
Pressors and Inotropes ... Increase SVR > Inotropy ... #criticalcare # ... pharmacology #comparison ... #shock #management
Post-Intensive Care Syndrome (PICS)
Symptoms of PICS:
 - Physical Domain: Generalized weakness, Fatigue, Difficulty walking
 - Cognitive
analgesics - Delirium ... treatments - Delirium ... Sedation titration (RASS ... PICS #diagnosis #management ... #criticalcare #
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
ICU Defining ... Non-pharmacologic management ... management of delirium ... theABofPharmaC #ICU ... #management #criticalcare
Vasopressors Demystified

Shock comes in many flavors and so do vasopressors. Here’s a OnePager summarizing my approach
Vasopressors #Basics #CriticalCare ... #Management #Pharmacology ... #Comparison #Inotropes
Vasopressors and Inotropes
 • Norepinephrine - Levophed - "Levo" - Generally thought of as the first
Vasopressors and Inotropes ... common in OR; in MICU ... #Vasopressors #Inotropes ... #management #criticalcare ... #summary #comparison
Pain, Agitation, and Delirium (PAD) in the ICU
Addressing the ICU Triad (PAD) can be accomplished through
Agitation, and Delirium ... below) D - Delirium ... Sedation Scale (RASS ... #PAD #ICU #CriticalCare ... #diagnosis #management
Common Vasopressors and Inotropes
Norepinephrine (NE)
 - Indication: Distributive shock (1st line for septic shock), Cardiogenic shock
Vasopressors and Inotropes ... Bradyarrhythmias, Some cases ... #Vasopressors #Inotropes ... #comparison #table ... #pharmacology #criticalcare
Checklist for Treatment of Delirium in the ICU 

Remove causative factors 
 - 
Exclude hypoglycemia if
for Treatment of Delirium ... in the ICU Remove ... #Delirium #Checklist ... #Management #Treatment ... #MICU #CriticalCare
Nasal Oxygen Delivery Devices
Nasal cannula can be used to deliver supplemental O2. Conventional nasal cannula are
deliver low flow rates ... intubation & lower ICU ... • Higher flow washes ... Delivery #Devices #management ... #pulmonary #criticalcare