10 results
Managing Pain, Anxiety and Delirium in the ICU

Nick Mark MD @nickmmark

#Pain #Anxiety #Delirium #CriticalCare #Comparison #Management
Managing Pain, Anxiety ... Delirium in the ICU ... @nickmmark #Pain ... Anxiety #Delirium #CriticalCare ... #Comparison #Management
Post-Intensive Care Syndrome (PICS)
Symptoms of PICS:
 - Physical Domain: Generalized weakness, Fatigue, Difficulty walking
 - Cognitive
) - Pain assessment ... Sedation titration (RASS ... PICS #diagnosis #management ... #criticalcare # ... icu
Pain, Agitation, and Delirium (PAD) in the ICU
Addressing the ICU Triad (PAD) can be accomplished through
Sedation Scale (RASS ... No pharmacologic ... (Haldol) - No pharmacologic ... #CriticalCare # ... diagnosis #management
Checklist for Treatment of Delirium in the ICU 

Remove causative factors 
 - 
Exclude hypoglycemia if
Delirium in the ICU ... if uncontrolled pain ... sleeping, administer pharmacologic ... Delirium #Checklist #Management ... #CriticalCare
Vasopressors and Inotropes
 • Norepinephrine - Levophed - "Levo" - Generally thought of as the first
common in OR; in MICU ... Vasopressors #Inotropes #management ... #criticalcare # ... summary #comparison ... #table #pharmacology
Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
Signs: weight gain ... may lack lung rales ... endomyocardial biopsy Pharmacology ... heartfailure #diagnosis #management ... #cardiology #pharmacology
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
diagnosis but rather ... differential #algorithm #management ... #heartfailure #chf ... #criticalcare # ... icu #clinical #pharmacology
ICU Pre-Rounding Bundle Checklist
VITALS: trends!
 • Important to know if the pt is getting better or
ICU Pre-Rounding ... Sedation: know RASS ... : what's their main ... Bundle #Checklist #CriticalCare ... #Management
Overview of antifungal agents benefits, weaknesses, and adverse effects in the treatment of Coccidioidomycosis.
Fluconazole - Low
hallucinations, rashes ... dyspnea, chest/back pain ... #valleyfever #management ... #antifungals #comparison ... #table #pharmacology
Antifungal agents benefits, weaknesses, and adverse effects in the treatment of Coccidioidomycosis
Fluconazole
 - Benefits: Low cost/tolerable
- Weaknesses: CSF ... hallucinations, rashes ... dyspnea, chest/back pain ... Coccidioidomycosis #pharmacology ... #management #treatment